Individual provider Active NPI

Erik Luis Dubarry

  • Driver
  • Winter Garden, FL
National Provider Identifier
1396372579
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
D160212844571 Issued in FL
Practice address
530 Susan B Britt CT Ste 250
Winter Garden, FL 34787-1905
Phone
(954) 294-0892
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X D160212844571 FL Primary

Addresses

Primary practice location

530 Susan B Britt CT Ste 250
Winter Garden, FL 34787-1905

Mailing address

530 Susan B Britt CT Ste 250
Winter Garden, FL 34787-1905
Phone (954) 294-0892

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

LicenseStateTypeSpecialty
D160212844571FLMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Wealth Warren Services & Solutions Driver CurrentSince Mar 29, 2020 Accepting new patients

Locations

530 Susan B Britt Ct
Ste 250
Winter Garden, FL 34787
Phone (954) 294-0892

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1396372579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SUSAN B BRITT CT STE 250",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347871905",
            "telephone_number": "954-294-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SUSAN B BRITT CT STE 250",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347871905",
            "telephone_number": "954-294-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBARRY",
        "first_name": "ERIK",
        "middle_name": "LUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "D160212844571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.