Diadra Michelle Biles, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD000932 Issued in GA

Practice address

792 Church St NE
Marietta
Marietta, GA 30060-8954

Phone

(770) 422-9856

Fax

(770) 984-0303

NPI assigned

Feb 8, 2006

Last updated

Apr 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Diadra Michelle Biles Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1639142979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 CHURCH ST NE",
            "address_2": "MARIETTA",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608954",
            "telephone_number": "770-422-9856",
            "fax_number": "770-984-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 CHURCH ST NE",
            "address_2": "MARIETTA",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608954",
            "telephone_number": "770-422-9856",
            "fax_number": "770-984-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILES",
        "first_name": "DIADRA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000932",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2758",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7101735",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0940220002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIADRA",
            "last_name": "BILES",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Podiatrist in Marietta, GA
• Providers in Marietta, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.