Active NPI
Doreen Dupont, MD
- Adult Medicine Physician
- Dublin, OH
National Provider Identifier
1336170851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 35.048938
- Practice address
- 545 Metro Place South
Suite 100
Dublin, OH 43017 - Phone
- (941) 350-6772
- Fax
- (718) 374-5371
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 35.048938 | OH | Primary |
| Procedural Dermatology Physician | 207NS0135X | 35.048938 | OH | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 35.048938 | OH | |
| General Practice Physician | 208D00000X | 35.048938 | OH | |
| Independent Medical Examiner Physician | 202C00000X | 35.048938 | OH | |
| Legal Medicine (M.D./D.O.) Physician | 209800000X | 35.048938 | OH |
Addresses
Primary practice location
545 Metro Place South
Suite 100
Dublin, OH 43017
Mailing address
545 Metro PL S
Suite 100, PMB 900
Dublin, OH 43017-1343
Phone (941) 350-6772
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.048938 | OH | MD | Procedural Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1336170851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 METRO PL S",
"address_2": "SUITE 100, PMB 900",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430171343",
"telephone_number": "941-350-6772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 METRO PLACE SOUTH",
"address_2": "SUITE 100",
"city": "DUBLIN",
"state": "OH",
"postal_code": "43017",
"telephone_number": "941-350-6772",
"fax_number": "718-374-5371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPONT",
"first_name": "DOREEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "OH",
"license": "35.048938",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "OH",
"license": "35.048938",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "OH",
"license": "35.048938",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35.048938",
"primary": false
},
{
"code": "202C00000X",
"taxonomy_group": "",
"desc": "Independent Medical Examiner",
"state": "OH",
"license": "35.048938",
"primary": false
},
{
"code": "209800000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "OH",
"license": "35.048938",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.