Individual provider Active NPI

Robert Lee Duncan, D.M.D.

  • General Practice Dentistry
  • Greenville, MS
National Provider Identifier
1518185677
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3281-03 Issued in MS
Practice address
835 S Main St
Greenville, MS 38701-5871
Phone
(662) 335-9121
Fax
(662) 332-2511
NPI assigned
Apr 23, 2007
Last updated
Feb 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3281-03 MS Primary

Addresses

Primary practice location

835 S Main St
Greenville, MS 38701-5871

Mailing address

1180 Cileste St
Greenville, MS 38703-6539
Phone (662) 334-6019

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
3281-03MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L. Duncan, DMD, PA General Practice CurrentSince Mar 1, 2020 Accepting new patients
Andrew E Abide DMD PA General Practice Past Accepting new patients
Dental Group of Greenville PastSince Sep 20, 2020 Accepting new patients

Locations

835 S Main St
Greenville, MS 38701
Phone (662) 335-9121

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1518185677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 CILESTE ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387036539",
            "telephone_number": "662-334-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387015871",
            "telephone_number": "662-335-9121",
            "fax_number": "662-332-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3281-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.