Individual provider Active NPI

Dee Ellen Dibona, MD

  • Obstetrics & Gynecology Physician
  • Charleston, SC
National Provider Identifier
1467576199
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17988 Issued in SC
Practice address
4115 Dorchester Rd Ste 100
Charleston, SC 29405-7501
Phone
(843) 554-6737
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17988 SC Primary

Addresses

Primary practice location

4115 Dorchester Rd Ste 100
Charleston, SC 29405-7501

Mailing address

324 Coinbow Dr
Mount Pleasant, SC 29464-2503
Phone (843) 971-4157

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17988SCMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: dee.dibona.1@19661.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1467576199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 COINBOW DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294642503",
            "telephone_number": "843-971-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 DORCHESTER RD STE 100",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294057501",
            "telephone_number": "843-554-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBONA",
        "first_name": "DEE",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "17988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.