Active NPI
Diabetic Shoe Source and DME
- Durable Medical Equipment & Medical Supplies
- El Paso, TX
National Provider Identifier
1679484430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
- 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
- Mia Nolasco
- Title
- Member
- Phone
- (915) 317-1222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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": "1789171200000",
"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": "2026-09-12",
"certification_date": "2026-09-12",
"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 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.