Kenneth Reid Dupree, D. M. D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34329 Issued in CA

Practice address

5201 Deer Valley Rd
Suite 1-E
Antioch, CA 94531-7429

Phone

(925) 755-1100

NPI assigned

Nov 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA

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

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134295397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 DEER VALLEY RD",
            "address_2": "SUITE 1-E",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317429",
            "telephone_number": "925-755-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 DEER VALLEY RD",
            "address_2": "SUITE 1-E",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317429",
            "telephone_number": "925-755-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "KENNETH",
        "middle_name": "REID",
        "credential": "D. M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Dugger
• Madison Dumas
• Acee Dunbar
• Lisa Rene Duncan, BUSINESS OWNER
• Brandaizha Necole Dunn
• Nyccol Dupree
• Alyssa Durjava
• Ernest Chimeziem Durunna Jr.
• East Bay Health Care Support Services, Inc.
• East Bay Medical Oncology-Hematology Associates (Epic Care)

• General Practice Dentistry in Antioch, CA
• Providers in Antioch, CA by specialty
• General Practice Dentistry in California

• 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.

Verify at the official NPI Registry.