Active NPI
Justine Fong Dupanovic, DDS
- Dentist
- Carson City, NV
National Provider Identifier
1124436043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7243
- Practice address
- 1749 N Stewart St Ste 40
Carson City, NV 89706-2575 - Phone
- (775) 882-2290
- Fax
- (775) 882-1308
- NPI assigned
- Jul 23, 2014
- Last updated
- Sep 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7243 | NV | Primary |
| Dentist | 122300000X | 63697 | CA |
Addresses
Primary practice location
1749 N Stewart St Ste 40
Carson City, NV 89706-2575
Mailing address
1749 N Stewart St Ste 40
Carson City, NV 89706-2575
Phone (775) 882-2290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7243 | NV | MD | Dentist |
| 63697 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupanovic DDS PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1124436043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 N STEWART ST STE 40",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897062575",
"telephone_number": "775-882-2290",
"fax_number": "775-882-1308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 N STEWART ST STE 40",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897062575",
"telephone_number": "775-882-2290",
"fax_number": "775-882-1308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPANOVIC",
"first_name": "JUSTINE",
"middle_name": "FONG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "7243",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63697",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.