David J Dubois, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11263 Issued in NC

Practice address

179 Hospital Dr
Spruce Pine, NC 28777-3035

Phone

(828) 765-0110

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Carolina University

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1972551919

  NC

  Medicare reassignment NPD
• Mountain Community Health Partnership Incorporated

  • Federally Qualified Health Center (FQHC)
  • Bakersville, NC
  • NPI 1043315054

  NC

  Medicare reassignment NPD
• East Carolina University

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1043260474
  NPD
• East Carolina University

  • Dentist
  • Spruce Pine, NC
  • NPI 1144624446
  NPD
• East Carolina University

  • Dentist
  • Greenville, NC
  • NPI 1669750014
  NPD
• Mountain Community Health Partnership Incorporated

  • Physical Therapist
  • Burnsville, NC
  • NPI 1033971049
  NPD
• Mountain Community Health Partnership Incorporated

  • Federally Qualified Health Center (FQHC)
  • Bakersville, NC
  • NPI 1619517976

  General Practice

  NPD
• Mountain Community Health Partnership Incorporated

  • Federally Qualified Health Center (FQHC)
  • Burnsville, NC
  • NPI 1265169940
  NPD (past)
• Mountain Community Health Partnership Incorporated

  • Federally Qualified Health Center (FQHC)
  • Burnsville, NC
  • NPI 1568914521
  NPD (past)
• Mountain Community Health Partnership Incorporated

  • Federally Qualified Health Center (FQHC)
  • Burnsville, NC
  • NPI 1831799667
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1063570091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 HOSPITAL DR",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287773035",
            "telephone_number": "828-765-0110",
            "fax_number": "910-396-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 HOSPITAL DR",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287773035",
            "telephone_number": "828-765-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2817 Reilly St",
            "address_2": "MCDS NA B",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "NC",
            "postal_code": "283107302",
            "country_code": "US",
            "telephone_number": "910-643-2196",
            "fax_number": "910-396-7017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86 N Mitchell Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersville",
            "state": "NC",
            "postal_code": "287056502",
            "country_code": "US",
            "telephone_number": "828-688-2104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Damico
• Dayspring Family Health & Wellness, PLLC
• Lucia Derks, M.D.
• Don Waldrop Enterprises, Inc
• James Drake
• East Carolina University
• Edwards Therapy Services
• Bo K Edwards, M.S./CCC-SLP
• Christopher Bryan Edwards, PHARM D
• Lyndsay Jensen Edwards, PA

• All providers in Spruce Pine, NC
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.