Diabetic Care LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

DIABETIC CARE LLC

Practice address

1600 Lancaster Dr Ste 102
Grapevine, TX 76051-3579

Phone

(817) 481-4000

Fax

(877) 294-5802

NPI assigned

Dec 13, 2023

Organization subpart

No

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

Authorized official

Name

Michael Bingham

Title

Managing Member

Phone

(817) 564-2414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1679341267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 ALLEN ST STE 2210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041031",
            "telephone_number": "817-481-4000",
            "fax_number": "877-294-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LANCASTER DR STE 102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513579",
            "telephone_number": "817-481-4000",
            "fax_number": "877-294-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-564-2414"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.