NPIMap

Organization Active NPI

Dugger Childrens Clinic

  • Developmental - Behavioral Pediatrics Physician
  • Ocean Springs, MS
National Provider Identifier
1053496141
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
06909 Issued in MS
Legal business name
DUGGER CHILDRENS CLINIC
Practice address
1800 Government St
Ocean Springs, MS 39564-3931
Phone
(228) 818-2450
Fax
(228) 818-2451
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Dr. David Leon Dugger, M.D.,F.A.A.P.NPI 1255416822
Title
Owner
Phone
(228) 818-2450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0006X 06909 MS Primary

Addresses

Primary practice location

1800 Government St
Ocean Springs, MS 39564-3931

Mailing address

1800 Government St
Ocean Springs, MS 39564-3931
Phone (228) 818-2450

Other identifiers 2

IdentifierTypeStateIssuer
04353701MedicaidMS
412723908DOtherMSBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1053496141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 GOVERNMENT ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643931",
            "telephone_number": "228-818-2450",
            "fax_number": "228-818-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 GOVERNMENT ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643931",
            "telephone_number": "228-818-2450",
            "fax_number": "228-818-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUGGER CHILDRENS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "DUGGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-818-2450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,F.A.A.P."
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "MS",
            "license": "06909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04353701",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "412723908D",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.