Organization Active NPI

Inchek Diabetes Centers, Inc.

  • Registered Dietitian
  • The Villages, FL
National Provider Identifier
1780901603
Registry record updated May 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
INCHEK DIABETES CENTERS, INC.
Practice address
12 Lagrande Blvd
The Villages, FL 32159-2384
Phone
(352) 460-7987
NPI assigned
May 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2010

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

Authorized official

Name
Daniel Joseph Deak
Title
Vice President
Phone
(352) 460-7987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

12 Lagrande Blvd
The Villages, FL 32159-2384

Mailing address

1576 Bella Cruz Dr
Suite 318
The Villages, FL 32159-8969
Phone (352) 460-7987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101103000060 FL Part B Supplier - Clinic/Group Practice 9032303136 Receives reassigned benefits from 1 practitioner
Practice locations: The Villages, FL

National Provider Directory

National Provider Directory

Locations

210 S Lake St
Ste 10
Leesburg, FL 34748
Phone (352) 323-5570

12 Lagrande Blvd
The Villages, FL 32159
Phone (352) 460-7987

978 Del Mar Dr
The Villages, FL 32159
Phone (352) 396-3804

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272758400000",
    "number": "1780901603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 BELLA CRUZ DR",
            "address_2": "SUITE 318",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598969",
            "telephone_number": "352-460-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LAGRANDE BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321592384",
            "telephone_number": "352-460-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCHEK DIABETES CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-02",
        "last_updated": "2010-05-02",
        "status": "A",
        "authorized_official_last_name": "DEAK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "352-460-7987"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.