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GENESIS DIABETIC SHOES & MEDICAL SUPPLIES
NPI 1699024489
Prosthetic/Orthotic Supplier in Wilmington, NC

Active since September 07, 2012
3806 1/2 PARK AVE, WILMINGTON, NC 28403(910) 279-6181 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Genesis Diabetic Shoes & Medical Supplies NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS DIABETIC SHOES & MEDICAL SUPPLIES (NPI 1699024489) is a healthcare organization registered as a prosthetic/orthotic supplier in Wilmington, North Carolina and active in the NPI registry since September 2012. The organization lists Tanita Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1699024489
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameGENESIS DIABETIC SHOES & MEDICAL SUPPLIES
Location Address3806 1/2 PARK AVEWilmington, NC 28403-6756
Mailing Address608 Wright StWilmington, NC 28401-5722 · (910) 279-6181
Phone(910) 279-6181
Organization SubpartNo
Authorized OfficialTanita WallaceOwner · (910) 279-6181
Enumeration DateSeptember 7, 2012
✔ NPI 1699024489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
3806 1/2 PARK AVE, Wilmington, NC 28403
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Diabetic Shoes & Medical Supplies's NPI number?

The NPI number for Genesis Diabetic Shoes & Medical Supplies is 1699024489. It was assigned to this organization in the NPPES registry on September 7, 2012.

Where is Genesis Diabetic Shoes & Medical Supplies located?

Genesis Diabetic Shoes & Medical Supplies is located at 3806 1/2 Park Ave, Wilmington, NC 28403. The listed phone number is (910) 279-6181.

What is Genesis Diabetic Shoes & Medical Supplies's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Genesis Diabetic Shoes & Medical Supplies was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.