Active NPI
William Louis Dubose, DDS
- General Practice Dentistry
- Bandera, TX
National Provider Identifier
1679656524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10389
- Practice address
- 314 13TH Street
Bandera, TX 78003 - Phone
- (830) 796-3023
- NPI assigned
- Oct 23, 2006
- Last updated
- Aug 24, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10389 | TX | Primary |
Addresses
Primary practice location
314 13TH Street
Bandera, TX 78003
Mailing address
P O Box 1105
Bandera, TX 78003-1105
Phone (830) 796-4608
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10389 | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1679656524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 1105",
"city": "BANDERA",
"state": "TX",
"postal_code": "780031105",
"telephone_number": "830-796-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 13TH STREET",
"city": "BANDERA",
"state": "TX",
"postal_code": "78003",
"telephone_number": "830-796-3023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOSE",
"first_name": "WILLIAM",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "10389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bandera, TX
- Crane and the Bull, Corp
- Crawford Pharmacy of Bandera LLC (Crawford pharmacy)
- Ana Romellyn Cromwell
- CVS Pharmacy Inc (CVS Pharmacy #10336)
- Barbara Dorothea Dauerty, P.A.
- Tamara K. Duncan
- Macy Foster Dye, M.S., CCC-SLP
- Daniel William Elgie, PT
- Fannin County Hospital Authority (Cedar Creek Nursing and Rehabilitation Center)
- Finding Solutions Counseling Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.