NPIMap

Organization Active NPI

Diabetes Specialty Center

  • Durable Medical Equipment & Medical Supplies
  • Layton, UT
National Provider Identifier
1831460757
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
LIC2003-00012 Issued in UT
Legal business name
DIABETES SPECIALTY CENTER
Practice address
1492 W Antelope Dr
Layton, UT 84041-1139
Phone
(801) 313-6864
Fax
(801) 313-6863
NPI assigned
Jan 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Mr. Marc Cohen
Title
Owner/ President/Ceo
Phone
(801) 263-5442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X LIC2003-00012 UT Primary

Addresses

Primary practice location

1492 W Antelope Dr
Layton, UT 84041-1139

Mailing address

3793 S State St
Salt Lake City, UT 84115-4828
Phone (800) 775-4372

National Provider Directory

National Provider Directory
Tax ID family
Diabetes Specialty Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1831460757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3793 S STATE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841154828",
            "telephone_number": "800-775-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 W ANTELOPE DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411139",
            "telephone_number": "801-313-6864",
            "fax_number": "801-313-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES SPECIALTY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT/CEO",
        "authorized_official_telephone_number": "801-263-5442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "LIC2003-00012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.