Organization Active NPI

National Diabetes Care, LLC

  • Prosthetic/Orthotic Supplier
  • Kansas City, MO
National Provider Identifier
1710674098
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NATIONAL DIABETES CARE, LLC
Practice address
1595 Erie St
Kansas City, MO 64116-3804
Phone
(386) 873-2911
Fax
(386) 200-6311
NPI assigned
Apr 18, 2023
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Hunter Tully
Title
Ceo
Phone
(954) 621-6887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1595 Erie St
Kansas City, MO 64116-3804

Mailing address

1431 Orange Camp Rd Ste 110
Deland, FL 32724-7770
Phone (386) 873-2911

National Provider Directory

National Provider Directory
Tax ID family
National Diabetes Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1595 Erie St
Kansas City, MO 64116
Phone (386) 873-2911

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1710674098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 ORANGE CAMP RD STE 110",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247770",
            "telephone_number": "386-873-2911",
            "fax_number": "386-200-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 ERIE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163804",
            "telephone_number": "386-873-2911",
            "fax_number": "386-200-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL DIABETES CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "TULLY",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-621-6887"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.