Diaper Depot, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIAPER DEPOT, INC.

Practice address

5231 Memorial Dr
B3
Stone Mountain, GA 30083-3153

Phone

(404) 297-4900

Fax

(404) 297-4905

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Lynn Phan

Title

President

Phone

(404) 297-4900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1497134811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 MEMORIAL DR",
            "address_2": "B3",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833153",
            "telephone_number": "404-297-4900",
            "fax_number": "404-297-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 MEMORIAL DR",
            "address_2": "B3",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833153",
            "telephone_number": "404-297-4900",
            "fax_number": "404-297-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAPER DEPOT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-297-4900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.