Active NPI
Douglas M Scarboro, D.D.S.
- General Practice Dentistry
- Dunn, NC
National Provider Identifier
1528206307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3765
- Practice address
- 1508 Maple Grove Church Rd
Dunn, NC 28334-7688 - Phone
- (910) 567-2646
- Fax
- (910) 567-4847
- NPI assigned
- Feb 2, 2009
- Last updated
- Feb 2, 2009
- 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 | 3765 | NC | Primary |
Addresses
Primary practice location
1508 Maple Grove Church Rd
Dunn, NC 28334-7688
Mailing address
PO Box 227
Newton Grove, NC 28366-0227
Phone (910) 567-2646
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 |
|---|---|---|---|
| 3765 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1528206307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 227",
"city": "NEWTON GROVE",
"state": "NC",
"postal_code": "283660227",
"telephone_number": "910-567-2646",
"fax_number": "910-567-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 MAPLE GROVE CHURCH RD",
"city": "DUNN",
"state": "NC",
"postal_code": "283347688",
"telephone_number": "910-567-2646",
"fax_number": "910-567-4847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARBORO",
"first_name": "DOUGLAS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-02",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "3765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunn, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.