Organization Active NPI

Cornerstone Diabetes and Medical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
National Provider Identifier
1073534095
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CORNERSTONE DIABETES AND MEDICAL SUPPLIES, LLC
Practice address
4165 Millersville Rd
Suite 130
Indianapolis, IN 46205-2989
Phone
(317) 536-2500
Fax
(317) 546-2501
NPI assigned
Jul 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Amanda N Bartley
Title
VP of Operations
Phone
(317) 536-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4165 Millersville Rd
Suite 130
Indianapolis, IN 46205-2989

Mailing address

4165 Millersville Rd
Suite 130
Indianapolis, IN 46205-2989
Phone (317) 536-2500

National Provider Directory

National Provider Directory

Locations

4165 Millersville Rd
Ste 130
Indianapolis, IN 46205
Phone (317) 536-2500

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073534095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 MILLERSVILLE RD",
            "address_2": "SUITE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052989",
            "telephone_number": "317-536-2500",
            "fax_number": "317-546-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 MILLERSVILLE RD",
            "address_2": "SUITE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052989",
            "telephone_number": "317-536-2500",
            "fax_number": "317-546-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE DIABETES AND MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTLEY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "317-536-2500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.