Organization Active NPI

Centers for Diabetes Management LLC.

  • Health Service Clinic/Center
  • Kingwood, TX
National Provider Identifier
1679645246
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
005447 Issued in TX
Legal business name
CENTERS FOR DIABETES MANAGEMENT LLC.
Practice address
24046 Hwy 59N
Kingwood, TX 77339-1500
Phone
(281) 358-3387
Fax
(281) 312-4445
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Camil I. Kreit, MD
Title
Medical Director
Phone
(281) 852-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Health Service Clinic/Center 261QH0100X 005447 TX Primary

Addresses

Primary practice location

24046 Hwy 59N
Kingwood, TX 77339-1500

Mailing address

24046 Hwy 59N
Kingwood, TX 77339-1500
Phone (281) 358-3387

Other identifiers 1

IdentifierTypeStateIssuer
005447OtherTXADA ERP RECOGNITION

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1068964Centers for Diabetes Management, LLC24046 Hwy 59 N, Kingwood, TX 77339Certificate of waiverMay 23, 2027

National Provider Directory

National Provider Directory

Locations

24046 Highway 59 N
Kingwood, TX 77339
Phone (281) 358-3387

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1679645246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24046 HWY 59N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391500",
            "telephone_number": "281-358-3387",
            "fax_number": "281-312-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24046 HWY 59N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391500",
            "telephone_number": "281-358-3387",
            "fax_number": "281-312-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR DIABETES MANAGEMENT LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "KREIT",
        "authorized_official_first_name": "CAMIL",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-852-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "005447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADA ERP RECOGNITION",
            "identifier": "005447",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.