Active NPI
Diabetic Equipment and Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
National Provider Identifier
1659035731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DIABETIC EQUIPMENT AND SUPPLIES LLC
- Doing business as
- Diabetic Equipment and Supplies
- Practice address
- 3905 Vincennes Rd Ste 430
Indianapolis, IN 46268-3026 - Phone
- (463) 777-9940
- NPI assigned
- Oct 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcus Miller
- Title
- President
- Phone
- (515) 478-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3905 Vincennes Rd Ste 430
Indianapolis, IN 46268-3026
Mailing address
3100 SE Grimes Blvd Ste 600
Grimes, IA 50111-5189
Phone (515) 478-3600
Other names 1
- Diabetic Equipment and Supplies
National Provider Directory
National Provider Directory- Tax ID family
- Diabetic Equipment and Supplies LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Angola, IN
- NPI 1710503693
-
- Customized Equipment (DME)
- Johnston, IA
- NPI 1255740387
Locations
3905 Vincennes Rd
Ste 430
Indianapolis, IN 46268
Phone (463) 777-9940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731628800000",
"number": "1659035731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SE GRIMES BLVD STE 600",
"city": "GRIMES",
"state": "IA",
"postal_code": "501115189",
"telephone_number": "515-478-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 VINCENNES RD STE 430",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683026",
"telephone_number": "463-777-9940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIABETIC EQUIPMENT AND SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-26",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MARCUS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "515-478-3600"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Diabetic Equipment and Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.