Douglas Forrest Degroote, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4050 Issued in NC

Practice address

2250 Shipyard Blvd
Suite 15
Wilmington, NC 28403-8070

Phone

(910) 452-1700

Fax

(910) 452-3671

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Douglas F. Degroote, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, NC
  • NPI 1811174352
  NPD (past) Authorized official
• New Hanover Community Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Wilmington, NC
  • NPI 1912954090
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1679573976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 SHIPYARD BLVD",
            "address_2": "SUITE 15",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038070",
            "telephone_number": "910-452-1700",
            "fax_number": "910-452-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 SHIPYARD BLVD",
            "address_2": "SUITE 15",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038070",
            "telephone_number": "910-452-1700",
            "fax_number": "910-452-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROOTE",
        "first_name": "DOUGLAS",
        "middle_name": "FORREST",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "4050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8992089",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Defee
• Dominick Sam Defelice, MD
• Mary Margaret Deforest, OTR/L
• Abigail Jane Degaetano, OTD
• Michael Stephen Degon, M.D.
• Elizabeth Weaver Dehmer, M.D.
• Jeffrey Joseph Dehmer, MD
• Meredith Deily, PA-C
• Deirdre W. Street, LLC
• Bethany Joanna Deitz, MS, BCBA, LBA

• Oral and Maxillofacial Surgery (Dentist) in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.