Debbie L Dismuke

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010213 Issued in GA

Practice address

1305 Ocilla Rd
Douglas, GA 31533-2209

Phone

(912) 384-2277

Fax

(912) 384-7543

NPI assigned

Aug 20, 2006

Last updated

Mar 27, 2008By the provider in NPPES

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 GA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Debbie L. Dismuke D.M.D.,P.C.

  • General Practice Dentistry
  • Douglas, GA
  • NPI 1447422787
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1336254275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1266",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315341266",
            "telephone_number": "912-384-2277",
            "fax_number": "912-384-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332209",
            "telephone_number": "912-384-2277",
            "fax_number": "912-384-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISMUKE",
        "first_name": "DEBBIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie L. Dismuke D.M.D.,P.C.
• Kenneth P Depersio, MD
• Steven Charles Diamond, M.D.
• Monica Sherise Dill
• Diskin G. Morgan MD PC
• Jeffery Joe Dockery, M.D.
• Dorothy Dixon
• Douglas Cancer Center
• Douglas Chiropractic (Douglas Spine And Rehab)
• Douglas Family Chiropractic, LLC

• General Practice Dentistry in Douglas, GA
• Providers in Douglas, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.