Diabetic Supply Source, Inc Dba DSS Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

002745 Issued in SC

Legal business name

DIABETIC SUPPLY SOURCE, INC DBA DSS MEDICAL

Practice address

2805 Millwood Ave
Columbia, SC 29205-1298

Phone

(803) 799-3505

Fax

(803) 779-3505

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Shuford V Shuford Sr.

Title

President

Phone

(803) 799-3505

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1508893009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 MILLWOOD AVENUE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29205",
            "telephone_number": "803-799-3505",
            "fax_number": "803-779-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 MILLWOOD AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051298",
            "telephone_number": "803-799-3505",
            "fax_number": "803-779-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SUPPLY SOURCE, INC DBA DSS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "SHUFORD",
        "authorized_official_first_name": "JOHN SHUFORD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-799-3505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "002745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM0745",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plechette Anne Dey-Foy, APRN
• Robert E Deysach
• Dhec Hemophilia-Cshcn Program
• Nadia Dhuey, APRN
• Diabetic Supply Source, Inc
• Diagnostic & Comprehensive Foot Care
• Diagnostic and Interventional Cardiology Associates, P.a
• Burke Hood Dial, M.D.
• Samantha Jasmine Dial, DDS
• Sydney Gail Dials

• Durable Medical Equipment & Medical Supplies in Columbia, SC
• Providers in Columbia, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.