Organization Active NPI

Diabetes Centers of America, Inc

  • Specialist
  • Houston, TX
National Provider Identifier
1730116740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DIABETES CENTERS OF AMERICA, INC
Practice address
11321 Fallbrook Dr
Houston, TX 77065-4232
Phone
(832) 237-3500
Fax
(832) 237-0200
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kimon J Angelides, PHD
Title
Ceo
Phone
(832) 237-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

11321 Fallbrook Dr
Houston, TX 77065-4232

Mailing address

11321 Fallbrook Dr
Houston, TX 77065-4232
Phone (832) 237-3500

Other names 1

  • Diabetes Centers of America Doing business as

National Provider Directory

National Provider Directory

Locations

11321 Fallbrook Dr
Houston, TX 77065
Phone (281) 890-5468

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730116740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 FALLBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654232",
            "telephone_number": "832-237-3500",
            "fax_number": "832-237-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11321 FALLBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654232",
            "telephone_number": "832-237-3500",
            "fax_number": "832-237-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES CENTERS OF AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANGELIDES",
        "authorized_official_first_name": "KIMON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-237-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes Centers of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.