Diabetic DME Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETIC DME SUPPLIES LLC

Doing business as

DDME Supplies, LLC

Practice address

500 White Rd
Shelbyville, KY 40065-7954

Phone

(502) 437-0523

Fax

(502) 220-4018

NPI assigned

Apr 6, 2011

Organization subpart

No

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

Authorized official

Name

Michael Roberts

Title

President

Phone

(502) 472-7948

Specialties & licenses 1

Addresses

Other names 1

• DDME Supplies, LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• John Clark Lawrence, C.PED

  • Pedorthist
  • Shelbyville, KY
  • NPI 1154084887
  NPD (past)

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1205125663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WHITE RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657954",
            "telephone_number": "502-437-0523",
            "fax_number": "502-220-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WHITE RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657954",
            "telephone_number": "502-437-0523",
            "fax_number": "502-220-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC DME SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-472-7948"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.ddme@outlook.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 White Rd",
            "city": "Shelbyville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400657954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DDME Supplies, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DDME Supplies, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcalley Lynn Defler, OTR/L
• Chelsea Dejesus
• Angela Dekrieger
• Penny Lynn Demastes
• Erin Leigh Dennison
• Diagnostic Imaging Shelbyville, LLC
• Christi Lynn Diaz Chavez
• Christina Dionne
• Alexxis Marie Distler
• Christina Chasidy Dixie, LPN

• Durable Medical Equipment & Medical Supplies in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.