Diabetic Supplies and More, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MP00320 Issued in NV

Legal business name

DIABETIC SUPPLIES AND MORE, INC

Practice address

6230 McLeod Dr
# 140
Las Vegas, NV 89120-4049

Phone

(702) 649-5600

Fax

(702) 736-2199

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Phyllis Diane Jordan

Title

President

Phone

(702) 649-5600

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1376596866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 MCLEOD DR",
            "address_2": "# 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204049",
            "telephone_number": "702-649-5600",
            "fax_number": "702-736-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 MCLEOD DR",
            "address_2": "# 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204049",
            "telephone_number": "702-649-5600",
            "fax_number": "702-736-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SUPPLIES AND MORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-649-5600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "MP00320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505201",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128099",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diabetes Health Centers Inc
• Diabetes Management Consultants LLC
• Diabetic Life Academy, LLC
• Diabetic Life Supply, LLC.
• Diabetic Relief Network
• Fatoumata Diafoune
• Diagnostic Center of Medicine
• Diagnostic Center of Medicine (Allen) LLP (Diagnostic Center of Medicine)
• Diagnostic Center of Medicine (Allen) LLP (Diagnostic Center of Medicine)
• Diagnostic Health Corporation (HealthSouth Diag. Ctr - Tenaya)

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.