NPIMap

Organization Active NPI

Diabetic Source Inc

Doing business as Total Diabetes Supply

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
National Provider Identifier
1790062198
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIABETIC SOURCE INC
Doing business as
Total Diabetes Supply
Practice address
6600 W Rogers Cir
Suite 15
Boca Raton, FL 33487-2805
Phone
(877) 977-7709
Fax
(800) 931-1915
NPI assigned
Nov 14, 2011
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Mr. Eric Lee ChirinskyNPI 1033461249
Title
President
Phone
(954) 610-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6600 W Rogers Cir
Suite 15
Boca Raton, FL 33487-2805

Mailing address

6600 W Rogers Cir
Suite 15
Boca Raton, FL 33487-2805
Phone (877) 977-7709

Other names 1

  • Total Diabetes Supply Doing business as

National Provider Directory

National Provider Directory

Locations

6600 W Rogers Cir
Ste 15
Boca Raton, FL 33487
Phone (877) 977-7709

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1790062198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 W ROGERS CIR",
            "address_2": "SUITE 15",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872805",
            "telephone_number": "877-977-7709",
            "fax_number": "800-931-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W ROGERS CIR",
            "address_2": "SUITE 15",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872805",
            "telephone_number": "877-977-7709",
            "fax_number": "800-931-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SOURCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "CHIRINSKY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-610-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Diabetes Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.