Diabetes Treatment Centers of America, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

DIABETES TREATMENT CENTERS OF AMERICA, LLC

Practice address

1490 E Foremaster Dr Ste 340
St George, UT 84790-4506

Phone

(435) 216-9290

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Adam Law

Title

Managing Member

Phone

(509) 842-8987

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1134908932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461338",
            "city": "LEEDS",
            "state": "UT",
            "postal_code": "847461338",
            "telephone_number": "509-842-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 340",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904506",
            "telephone_number": "435-216-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES TREATMENT CENTERS OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "509-842-8987"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Linnae Deviney, REGISTERED NURSE
• Madison Lyn Devooght
• Leroy O Dewitt III, D.C.
• Sulakshna Dhamija, MD
• Diabetes and Wound Care Clinic of St George
• Diamond DME Ut, LLC
• Scott Diamond, DO
• Eliza Dick
• Paula Dick
• Kyler Dickerson

• Medical Specialty Clinic/Center in St George, UT
• Providers in St George, UT by specialty
• Medical Specialty Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.