Diabetic Comfort Footwear, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETIC COMFORT FOOTWEAR, INC.

Practice address

5130 Charlestown Rd
Suite 3
New Albany, IN 47150-9483

Phone

(502) 821-8783

Fax

(812) 949-0279

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Monica Foust Mohammed

Title

Owner

Phone

(502) 821-8783

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1447394580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 CHARLESTOWN RD",
            "address_2": "SUITE 3",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509483",
            "telephone_number": "502-821-8783",
            "fax_number": "812-949-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 CHARLESTOWN RD",
            "address_2": "SUITE 3",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509483",
            "telephone_number": "502-821-8783",
            "fax_number": "812-949-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC COMFORT FOOTWEAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "FOUST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-821-8783"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2514112",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90009192",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Derenge, PHARMD
• Kirsten Bailey Dericks, PA-C
• Yasoda Devabhaktuni, MD
• Peyge Dewitt
• Shelby Dhanapal
• Brian Andrew Diamond
• Kenneth Elmer Didat, DDS
• Carl Edward Dillman Jr., MD
• Diosa Mental Health LLC
• Djkkm LLC

• Durable Medical Equipment & Medical Supplies in New Albany, IN
• Providers in New Albany, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.