Individual provider Active NPI

Dianah Victoria Marable Dukes, DDS

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1467747113
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8064 Issued in SC
Practice address
225 S Pleasantburg Dr Ste E10
Greenville, SC 29607-2533
Phone
(864) 233-7737
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 8064 SC Primary

Addresses

Primary practice location

225 S Pleasantburg Dr Ste E10
Greenville, SC 29607-2533

Mailing address

225 S Pleasantburg Dr Ste E10
Greenville, SC 29607-2533
Phone (864) 233-7737

Other practice location 1

371 Whitney Rd
Spartanburg, SC 29303-3143
Phone (864) 479-8841

Other identifiers 1

IdentifierTypeStateIssuer
ZX8064MedicaidSC

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
8064SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Youth Dentistry, LLC General Practice PastSince Apr 21, 2024 Accepting new patients
Pleasantburg Drive Dental Health Center, P.C. General Practice PastSince Apr 21, 2024 Accepting new patients

Organizations & group practices 2

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1467747113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S PLEASANTBURG DR STE E10",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072533",
            "telephone_number": "864-233-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S PLEASANTBURG DR STE E10",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072533",
            "telephone_number": "864-233-7737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 Whitney Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033143",
            "country_code": "US",
            "telephone_number": "864-479-8841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKES",
        "first_name": "DIANAH",
        "middle_name": "VICTORIA MARABLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX8064",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.