Active NPI
Diane Subin, MD
- Dermatology Physician
- Pinehurst, NC
National Provider Identifier
1609928357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 30865
- Practice address
- 40 Aviemore Dr
Pinehurst, NC 28374-9700 - Phone
- (910) 295-3100
- Fax
- (910) 295-1460
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 30865 | NC | Primary |
Addresses
Primary practice location
40 Aviemore Dr
Pinehurst, NC 28374-9700
Mailing address
40 Aviemore Dr
Pinehurst, NC 28374-9700
Phone (910) 295-3100
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- diane.subin.1@1215.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1609928357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 AVIEMORE DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749700",
"telephone_number": "910-295-3100",
"fax_number": "910-295-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 AVIEMORE DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749700",
"telephone_number": "910-295-3100",
"fax_number": "910-295-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBIN",
"first_name": "DIANE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "30865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.