Diabetic Special Care

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

DIABETIC SPECIAL CARE

Practice address

19900 W Catawba Ave
Cornelius, NC 28031-4032

Phone

(704) 895-8478

Fax

(704) 895-8478

NPI assigned

Apr 24, 2006

Organization subpart

No

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

Authorized official

Name

Kirkwood T Shultz, MDNPI 1760477210

Title

Owner

Phone

(704) 895-8478

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirkwood Tanner Shultz, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Cornelius, NC
  • NPI 1760477210
  NPD (past) Authorized official

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1104882752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5388",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272625388",
            "telephone_number": "800-277-8151",
            "fax_number": "336-841-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314032",
            "telephone_number": "704-895-8478",
            "fax_number": "704-895-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SPECIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "KIRKWOOD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-895-8478",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Degner, MSPT
• Amy Der
• Madalyn Marie Derrick, LCSW
• Suresh Jayantha Desilva, MD
• Stacey E Devine, M.D.
• Diabetic Supply Institute Inc
• Diabetic Support Services, Inc.
• Brittany Nicole Diaconu
• Teresa Dillard, LMFT
• Christina Dishmond, NP

• Endocrinology, Diabetes & Metabolism Physician in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Endocrinology, Diabetes & Metabolism Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.