NPIMap

Organization Active NPI

Advanced Diabetes Treatment Centers LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Boca Raton, FL
National Provider Identifier
1326065038
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ADVANCED DIABETES TREATMENT CENTERS LLC
Practice address
1601 Clint Moore Rd
Suite 178
Boca Raton, FL 33487-2768
Phone
(561) 939-0350
Fax
(561) 939-0351
NPI assigned
Jul 17, 2006
Last updated
Jan 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Mr. Paul James Mahowald
Title
Coo
Phone
(561) 995-7950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X FL Primary

Addresses

Primary practice location

1601 Clint Moore Rd
Suite 178
Boca Raton, FL 33487-2768

Mailing address

1601 Clint Moore Rd
Suite 178
Boca Raton, FL 33487-2768
Phone (561) 939-0350

National Provider Directory

National Provider Directory

Locations

1500 NW 10th Ave
Ste 203
Boca Raton, FL 33486
Phone (561) 392-4477

1601 Clint Moore Rd
Ste 178
Boca Raton, FL 33487
Phone (561) 939-0350

6400 Congress Ave
Ste 1400
Boca Raton, FL 33487

3113 Lawton Rd
Ste 109
Orlando, FL 32803
Phone (407) 898-2220

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1326065038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "SUITE 178",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-939-0350",
            "fax_number": "561-939-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "SUITE 178",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-939-0350",
            "fax_number": "561-939-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIABETES TREATMENT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "MAHOWALD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-995-7950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.