NPIMap

Organization Active NPI

Renee M. Dupont, MD, Inc

  • Psychiatry Physician
  • Encinitas, CA
National Provider Identifier
1619963741
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19245 Issued in CA
Legal business name
RENEE M. DUPONT, MD, INC
Practice address
1011 Devonshire Dr
Suite D
Encinitas, CA 92024-5136
Phone
(760) 635-5631
NPI assigned
Sep 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Dr. Renee Dupont, M.D.
Title
President
Phone
(760) 635-5631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 19245 CA Primary

Addresses

Primary practice location

1011 Devonshire Dr
Suite D
Encinitas, CA 92024-5136

Mailing address

1011 Devonshire Dr
Suite D
Encinitas, CA 92024-5136
Phone (760) 635-5631

National Provider Directory

National Provider Directory

Locations

1011 Devonshire Dr
Ste G
Encinitas, CA 92024
Phone (619) 291-4465

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1619963741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 DEVONSHIRE DR",
            "address_2": "SUITE D",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245136",
            "telephone_number": "760-635-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 DEVONSHIRE DR",
            "address_2": "SUITE D",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245136",
            "telephone_number": "760-635-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE M. DUPONT, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "DUPONT",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-635-5631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "19245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.