Active NPI
Joseph C Duncan, DDS
- Dentist
- Huntersville, NC
National Provider Identifier
1124041868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6625
- Practice address
- 103 Commerce Center Dr
Huntersville, NC 28078-5869 - Phone
- (704) 948-1300
- Fax
- (704) 948-1969
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6625 | NC | Primary |
Addresses
Primary practice location
103 Commerce Center Dr
Huntersville, NC 28078-5869
Mailing address
PO Box 2848
Huntersville, NC 28070-2848
Phone (704) 948-1300
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150915000171 | NC | Order and Referring Only - Oral Surgery | 5991023566 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6625 | NC | MD | Mental Health Counselor |
Interoperability endpoints
- https://api.platform.athenahealth.com/1123/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124041868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2848",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280702848",
"telephone_number": "704-948-1300",
"fax_number": "704-948-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 COMMERCE CENTER DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785869",
"telephone_number": "704-948-1300",
"fax_number": "704-948-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "JOSEPH",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "6625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.