Lisa D Dubos, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21272 Issued in OH

Practice address

1200 Lancaster Pike
Circleville, OH 43113

Phone

(740) 474-1900

Fax

(740) 474-3991

NPI assigned

Oct 16, 2006

Sex

Female

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 OH

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

State licenses

Practice roles

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.

• DRS. Shaw Ely & Dubos

  • General Practice Dentistry
  • Circleville, OH
  • NPI 1528158789
  NPD (past)
• Shaw, Ely & Dubos, D.D.S., Inc.

  • Dental Clinic/Center
  • Circleville, OH
  • NPI 1124407234
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1073603254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LANCASTER PIKE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "43113",
            "telephone_number": "740-474-1900",
            "fax_number": "740-474-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LANCASTER PIKE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "43113",
            "telephone_number": "740-474-1900",
            "fax_number": "740-474-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOS",
        "first_name": "LISA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Drake, PRS
• Carolyn Ann Dresbach, M.A.
• Robert Stephen Drew, D.D.S.
• DRS. Liggett, Rocklin & Liggett, Inc.
• DRS. Shaw Ely & Dubos
• Annisa Dudas, RPH
• Brandon Joseph Duerler, LCDC II, SWA
• Michelle Duerler, CDCA, QMHS
• Dunkle Speech & Language Services, LLC
• Brandy Dunkle, PRS

• General Practice Dentistry in Circleville, OH
• Providers in Circleville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.