Organization Active NPI

Diabetic Supply Center

  • Durable Medical Equipment & Medical Supplies
  • Saint Clair Shores, MI
National Provider Identifier
1902052657
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIABETIC SUPPLY CENTER
Practice address
21500 Harper Ave
Suite 500
Saint Clair Shores, MI 48080-2211
Phone
(586) 350-0623
Fax
(888) 712-7443
NPI assigned
Aug 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Mr. Nandor Joseph Hernadi Jr.
Title
President
Phone
(313) 478-3268

Specialties & licenses 1

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

Addresses

Primary practice location

21500 Harper Ave
Suite 500
Saint Clair Shores, MI 48080-2211

Mailing address

21500 Harper Ave
Suite 500
Saint Clair Shores, MI 48080-2211
Phone (586) 350-0623

National Provider Directory

National Provider Directory

Locations

21500 Harper Ave
#500
Saint Clair Shores, MI 48080
Phone (586) 350-0623

21500 Harper Ave
Ste 500
St Clr Shores, MI 48080
Phone (586) 350-0623

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1902052657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21500 HARPER AVE",
            "address_2": "SUITE 500",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802211",
            "telephone_number": "586-350-0623",
            "fax_number": "888-712-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21500 HARPER AVE",
            "address_2": "SUITE 500",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802211",
            "telephone_number": "586-350-0623",
            "fax_number": "888-712-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SUPPLY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "HERNADI",
        "authorized_official_first_name": "NANDOR",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-478-3268",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.