Diabetic Soles, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETIC SOLES, INC

Practice address

2959 Cherokee St NW Ste 103D
Kennesaw, GA 30144-6522

Phone

(789) 199-1286

Fax

(888) 495-8205

NPI assigned

May 28, 2007

Organization subpart

No

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

Authorized official

Name

Daniel J Robichaud

Title

Ceo

Phone

(678) 919-9128

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Carolyn N. Johnson, PH.D.

  • Psychologist
  • Marietta, GA
  • NPI 1346314713
  NPD (past)

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1164633368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 LYNMAR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263123",
            "telephone_number": "678-919-9128",
            "fax_number": "888-495-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 CHEROKEE ST NW STE 103D",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446522",
            "telephone_number": "789-199-1286",
            "fax_number": "888-495-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SOLES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-28",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "ROBICHAUD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-919-9128"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia L. Dever, DC
• Devereux Foundation
• Devereux Georgia
• Devereux Goergia Treatment Network
• Waddah A Diab, DDS
• Adama Y. Diallo
• Kristina Diaz
• Digitrace Care Services
• Emery Delancey Dikeman, MSN, APRN, CPNP-PC
• Kathryn Dimmock, OTR/L

• Durable Medical Equipment & Medical Supplies in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.