NPIMap

Organization Active NPI

Daniel J Duffy DMD, PLLC

Doing business as Live Oak Dental

  • Dental Clinic/Center
  • Wilmington, NC
National Provider Identifier
1699410993
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DANIEL J DUFFY DMD, PLLC
Doing business as
Live Oak Dental
Practice address
2520 Delaney Ave
Wilmington, NC 28403-6002
Phone
(910) 762-1772
NPI assigned
May 2, 2022
Last updated
May 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Dr. Daniel J Duffy Jr., DMDNPI 1508213323
Title
Owner
Phone
(910) 762-1772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

2520 Delaney Ave
Wilmington, NC 28403-6002

Mailing address

2520 Delaney Ave
Wilmington, NC 28403-6002
Phone (910) 762-1772

Other identifiers 1

IdentifierTypeStateIssuer
1234OtherNCN/A

Other names 1

  • Live Oak Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.liveoaksmiles.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1699410993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036002",
            "telephone_number": "910-762-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036002",
            "telephone_number": "910-762-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J DUFFY DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-762-1772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1234",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.liveoaksmiles.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "2520 Delaney Ave",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284036002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Live Oak Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.