Diabetic Treatment Centers of America

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DIABETIC TREATMENT CENTERS OF AMERICA

Practice address

50 S 900 E
Suite 1a
Salt Lake City, UT 84102-1366

Phone

(801) 746-0407

Fax

(801) 575-5462

NPI assigned

Jun 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott E Allen

Title

Ceo

Phone

(801) 746-0407

Specialties & licenses 1

Addresses

Locations

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": "1902833270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S 900 E",
            "address_2": "SUITE 1A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021366",
            "telephone_number": "801-746-0407",
            "fax_number": "801-575-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S 900 E",
            "address_2": "SUITE 1A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021366",
            "telephone_number": "801-746-0407",
            "fax_number": "801-575-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC TREATMENT CENTERS OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-746-0407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicholas Diachun
• Diagnopy, LLC
• Diana Maria Diakow
• Tessa Irene Dial
• Dialysis Program Physicians University of Utah

• Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinic/Center in Utah

• 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.