Organization Active NPI

Diabetes Dimensions, LLC

  • Registered Dietitian
  • Palm Desert, CA
National Provider Identifier
1245275965
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
877907 Issued in AZ
Legal business name
DIABETES DIMENSIONS, LLC
Practice address
73885 Gun Cir
Palm Desert, CA 92260-1524
Phone
(928) 412-1433
Fax
(928) 733-2415
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Ms. Sherri A Mason, RD, CDENPI 1245281815
Title
Sole Provider
Phone
(928) 412-1433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 877907 AZ Primary

Addresses

Primary practice location

73885 Gun Cir
Palm Desert, CA 92260-1524

Mailing address

73885 Gun Cir
Palm Desert, CA 92260-1524
Phone (928) 412-1433

National Provider Directory

National Provider Directory

Locations

1845 McCulloch Blvd N
#D
Lake Havasu City, AZ 86403
Phone (928) 412-1433

2156 McCulloch Blvd N
Ste 4A
Lk Havasu Cty, AZ 86403
Phone (928) 412-1433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1245275965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73885 GUN CIR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601524",
            "telephone_number": "928-412-1433",
            "fax_number": "928-733-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73885 GUN CIR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601524",
            "telephone_number": "928-412-1433",
            "fax_number": "928-733-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES DIMENSIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROVIDER",
        "authorized_official_telephone_number": "928-412-1433",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "877907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.