Diabetic Equipment and Supplies LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

DIABETIC EQUIPMENT AND SUPPLIES LLC

Doing business as

Diabetic Equipment and Supplies

Practice address

6445 Corporate Dr
Johnston, IA 50131-1658

Phone

(515) 478-3600

NPI assigned

Aug 2, 2014

Last updated

Nov 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcus Miller

Title

President/Coo

Phone

(515) 478-3600

Specialties & licenses 1

Addresses

Other names 1

• Diabetic Equipment and Supplies Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Diabetic Equipment and Supplies LLC

  dba Diabetic Equipment and Supplies

  • Durable Medical Equipment & Medical Supplies
  • Angola, IN
  • NPI 1710503693

  1355656083

  Same PAC ID

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

Tax ID family

Diabetic Equipment and Supplies LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Diabetic Equipment and Supplies LLC

  dba Diabetic Equipment and Supplies

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1659035731
  NPD tax ID
• Diabetic Equipment and Supplies LLC

  dba Diabetic Equipment and Supplies

  • Durable Medical Equipment & Medical Supplies
  • Angola, IN
  • NPI 1710503693
  NPD tax ID

Locations

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1255740387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 CORPORATE DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311658",
            "telephone_number": "515-478-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 CORPORATE DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311658",
            "telephone_number": "515-478-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC EQUIPMENT AND SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-02",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "515-478-3600"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetic Equipment and Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Johnston, IA
• Providers in Johnston, IA by specialty
• Customized Equipment (DME) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.