Active NPI
David T. Dube', P.A.
- Physician Assistant
- Edmond, OK
National Provider Identifier
1578679684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 925
- Practice address
- 15112 Traditions Blvd Ste a
Edmond, OK 73013-1182 - Phone
- (405) 289-0483
- Fax
- (405) 266-6609
- NPI assigned
- Aug 22, 2006
- Last updated
- Apr 14, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 925 | OK | Primary |
Addresses
Primary practice location
15112 Traditions Blvd Ste a
Edmond, OK 73013-1182
Mailing address
15112 Traditions Blvd Ste a
Edmond, OK 73013-1182
Phone (405) 289-0483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15112 Traditions Blvd
Suite a
Edmond, OK 73013-1182
Phone (405) 289-0483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ms Center of Oklahoma LLC | Physician Assistant | Past | Accepting new patients |
| Kingfisher Regional Hospital | Past | Accepting new patients |
Interoperability endpoints
- ccfgroup.daviddube@162329.advancedmd-direct.com
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.
-
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1093382467
-
- Medicare Defined Swing Bed Hospital Unit
- Kingfisher, OK
- NPI 1932387743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1578679684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15112 TRADITIONS BLVD STE A",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131182",
"telephone_number": "405-289-0483",
"fax_number": "405-266-6609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15112 TRADITIONS BLVD STE A",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131182",
"telephone_number": "405-289-0483",
"fax_number": "405-266-6609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBE'",
"first_name": "DAVID",
"middle_name": "T.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.