Diabetes Express Supply Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETES EXPRESS SUPPLY CO

Practice address

4560 North Blvd
Suite 102
Baton Rouge, LA 70806-4043

Phone

(225) 925-2232

Fax

(225) 926-4713

NPI assigned

Feb 12, 2007

Last updated

Oct 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kendrick Ebanks

Title

Owner

Phone

(225) 925-2232

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Diabetes Express Supply Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Diabetes Express Supply Co. Inc

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
  • NPI 1821007386
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1053452912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 NORTH BLVD",
            "address_2": "SUITE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064043",
            "telephone_number": "225-925-2232",
            "fax_number": "225-926-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 NORTH BLVD",
            "address_2": "SUITE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064043",
            "telephone_number": "225-925-2232",
            "fax_number": "225-926-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES EXPRESS SUPPLY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "EBANKS",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-925-2232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1478750",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Elting Deyo, MD, PHD
• Sarah Rae Deyo, PA
• Kristina Dezendorf
• Vasan Sachin Dhaniram, MD
• Dia-Tech Services LLC
• Diabetes Express Supply Co. Inc
• Diabetic Foot Institute, LLC
• Diabetic Pharmacy Centre, LLC (Diabetic Pharmacy Centre)
• Diagnostic and Interventional Medicine, LLC
• Diagnostic Health Corporation (Diagnostic Health Baton Rouge South)

• Durable Medical Equipment & Medical Supplies in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.