Krishna Gidwani, COF, CDME

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

C52107 Issued in MD

Practice address

92 Grape St Ste 2a
New Bedford, MA 02740-2104

Phone

(321) 402-6716

Fax

(508) 819-4989

NPI assigned

Mar 4, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blue Hill Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Walpole, MA
  • NPI 1255026183
  NPD Authorized official
• Feel Well Rehab Clinic Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • New Bedford, MA
  • NPI 1235876103

  Single Specialty

  NPD Authorized official
• American Diagnostic Lab Inc

  dba A Home Medical Supply Co

  • Durable Medical Equipment & Medical Supplies
  • New Bedford, MA
  • NPI 1124166863
  NPD

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1720386477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 GRAPE ST STE 2A",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402104",
            "telephone_number": "321-402-6716",
            "fax_number": "508-819-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 GRAPE ST STE 2A",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402104",
            "telephone_number": "321-402-6716",
            "fax_number": "508-819-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDWANI",
        "first_name": "KRISHNA",
        "name_prefix": "Mr.",
        "credential": "COF, CDME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-04",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": "MD",
            "license": "C52107",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "CPED3498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taurean Gibbons, LPN
• Kirsten Gibbs
• Cayla Elizabeth Giblin, MA
• Erica Marie-Ange Gibson, PHARMD
• Elizabeth D. Giddings, M.A.
• Gifford Street Wellness Center, LLC (Gifford Street Wellness Center)
• Gifford Street Wellness Center, LLC (Gifford Street Wellness Center)
• Corey Gifford, PSY.D.
• Sarah Gifford
• Giga Med I LLC (Giga Medical)

• Orthotic Fitter in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Orthotic Fitter in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.