Organization Active NPI

American Diabetic Shoe Alliances, Inc

  • Durable Medical Equipment & Medical Supplies
  • Port Charlotte, FL
National Provider Identifier
1225164312
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
AMERICAN DIABETIC SHOE ALLIANCES, INC
Practice address
3129 Tamiami TRL
Suite E
Port Charlotte, FL 33952-8010
Phone
(941) 235-7463
Fax
(941) 625-6898
NPI assigned
Feb 26, 2007
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
Ms. Bethanne Algie, LICENSED PEDORTHIST
Title
Owner
Phone
(941) 235-7463

Specialties & licenses 1

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

Addresses

Primary practice location

3129 Tamiami TRL
Suite E
Port Charlotte, FL 33952-8010

Mailing address

PO Box 494983
Port Charlotte, FL 33949-4983
Phone (941) 235-7463

National Provider Directory

National Provider Directory

Locations

3129 Tamiami Trl
Ste E
Port Charlotte, FL 33952
Phone (941) 235-7463

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225164312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494983",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339494983",
            "telephone_number": "941-235-7463",
            "fax_number": "941-625-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 TAMIAMI TRL",
            "address_2": "SUITE E",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528010",
            "telephone_number": "941-235-7463",
            "fax_number": "941-625-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DIABETIC SHOE ALLIANCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALGIE",
        "authorized_official_first_name": "BETHANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-235-7463",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICENSED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

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.