Samuel Stuart Dupuy Jr., M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

18092 Issued in NC

Practice address

1450 Matthews Township Parkway
Matthews, NC 28105

Phone

(704) 846-0809

Fax

(704) 283-4705

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1497978837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVENUE",
            "address_2": "SUITE 201",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789118",
            "telephone_number": "704-414-2870",
            "fax_number": "704-414-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PARKWAY",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "704-846-0809",
            "fax_number": "704-283-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPUY",
        "first_name": "SAMUEL",
        "middle_name": "STUART",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "18092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8929532",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Marie Duncan
• Kara Lynn Dunkle, OD
• Amy Dunn, LCMHCA
• Amy Dunn, M.ED., CCC-SLP
• Lisa Elizabeth Dunton, CNM
• Jill Jaffe Durinick, RD,LDN
• April Duritza, LCSWA
• Eagle Eye Counseling & Consulting, PLLC
• Maggie Eaglen, OT
• Early Bird Developmental Services, LLC

• Urology Physician in Matthews, NC
• Providers in Matthews, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.

Verify at the official NPI Registry.