NPI Verification
National Provider Identifier: 1235997602
Innovative Diabetic Center, LLC
Organization
Primary Specialty
Family Medicine
Code: 207Q00000X
All Specialties (12)
Dietitian, Registered, Nutrition, Metabolic
Code: 133VN1006X
Nutritionist
Code: 133N00000X
Licensed Practical Nurse
Code: 164W00000X
Clinic/Center, Infusion Therapy
Code: 261QI0500X
Registered Nurse, Infusion Therapy
Code: 163WI0500X
Clinic/Center, Multi-Specialty
Code: 261QM1300X
Registered Nurse, Diabetes Educator
Code: 163WD0400X
Code: 208VP0000X
Physical Medicine & Rehabilitation, Pain Medicine
Code: 2081P2900X
Nurse Practitioner
Code: 363L00000X
Internal Medicine, Endocrinology, Diabetes & Metabolism
Code: 207RE0101X
Family Medicine
Code: 207Q00000X
Practice Address
10210 N 92ND ST STE 104
SCOTTSDALE, AZ 852584531
Phone: 480-493-0900
NPI Enumeration Date
March 11, 2024
NPI Number
1235997602Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry