Organization Active NPI

Diabetic Shoe Source and DME

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
National Provider Identifier
1679484430
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIABETIC SHOE SOURCE AND DME
Practice address
907 Chelsea St Ste G
El Paso, TX 79903-4912
Phone
(915) 317-1222
Fax
(915) 317-1005
NPI assigned
Sep 12, 2026
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Mia Nolasco
Title
Member
Phone
(915) 317-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

907 Chelsea St Ste G
El Paso, TX 79903-4912

Mailing address

907 Chelsea St Ste G
El Paso, TX 79903-4912
Phone (915) 317-1222

National Provider Directory

National Provider Directory

Locations

907 Chelsea St
Ste G
El Paso, TX 79903
Phone (915) 317-1222

NPI Registry JSON

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

{
    "created_epoch": "1789171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1679484430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 CHELSEA ST STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034912",
            "telephone_number": "915-317-1222",
            "fax_number": "915-317-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 CHELSEA ST STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034912",
            "telephone_number": "915-317-1222",
            "fax_number": "915-317-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SHOE SOURCE AND DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-12",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "NOLASCO",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "915-317-1222"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.