DIRECT ADVANTAGE DIABETIC SUPPLY,INC
NPI 1689956278
Durable Medical Equipment & Medical Supplies in Mint Hill, NC

Active since September 09, 2011
4301 MORRIS PARK DR, MINT HILL, NC 28227(877) 315-6023 Get Directions Write a Review

NPPES record last updated: September 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About DIRECT ADVANTAGE DIABETIC SUPPLY,INC

This page provides the complete NPI Profile along with additional information for Direct Advantage Diabetic Supply,inc, a provider established in Mint Hill, North Carolina operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1689956278 assigned on September 2011. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Matthew Timmerman (Owner)

NPI
1689956278 Verify this NPI
Provider Name
DIRECT ADVANTAGE DIABETIC SUPPLY,INC
Entity Type
Organization
Location Address
4301 MORRIS PARK DR MINT HILL, NC 28227
Location Phone
(877) 315-6023
Mailing Address
4301 MORRIS PARK DR MINT HILL, NC 28227
Mailing Phone
(877) 315-6023
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-09-2011
Last Update Date
09-09-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MATTHEW TIMMERMAN

Authorized Official Title
OWNER
Authorized Official Phone
(704) 568-9649

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689956278, enumerated as an "organization" on September 09, 2011.

The provider is located at 4301 MORRIS PARK DR MINT HILL, NC 28227 and the phone number is (877) 315-6023.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.