Active NPI
Daniel Joseph Duffy Jr., D.M.D.
- General Practice Dentistry
- Wilmington, NC
National Provider Identifier
1508213323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10330
- Practice address
- 2520 Delaney Ave
Wilmington, NC 28403-6002 - Phone
- (910) 762-1772
- Fax
- (910) 762-1469
- NPI assigned
- May 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10330 | NC | Primary |
Addresses
Primary practice location
2520 Delaney Ave
Wilmington, NC 28403-6002
Mailing address
2520 Delaney Ave
Wilmington, NC 28403-6002
Phone (910) 762-1772
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10330 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel J Duffy DMD, PLLC | Current | Accepting new patients | |
| Ronald E Robisnon DDS PA | General Practice | Past | Accepting new patients |
Locations
2520 Delaney Ave
Wilmington, NC 28403
Phone (910) 762-1772
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.
-
- Dental Clinic/Center
- Wilmington, NC
- NPI 1699410993
-
- General Practice Dentistry
- Wilmington, NC
- NPI 1083728125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1508213323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 DELANEY AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036002",
"telephone_number": "910-762-1772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 DELANEY AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036002",
"telephone_number": "910-762-1772",
"fax_number": "910-762-1469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-22",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.