Organization Active NPI

Dan K Dube DMD PA

  • Dentist
  • Wilmington, NC
National Provider Identifier
1730967357
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DAN K DUBE DMD PA
Practice address
5653 Carolina Beach Rd Unit C1
Wilmington, NC 28412-2649
Phone
(910) 791-0986
NPI assigned
Sep 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Daniel Kai DubeNPI 1386742377
Title
President
Phone
(910) 352-2095

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5653 Carolina Beach Rd Unit C1
Wilmington, NC 28412-2649

Mailing address

5653 Carolina Beach Rd Unit C1
Wilmington, NC 28412-2649

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1730967357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5653 CAROLINA BEACH RD UNIT C1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 CAROLINA BEACH RD UNIT C1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122649",
            "telephone_number": "910-791-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN K DUBE DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "DUBE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "KAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-352-2095"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 15, 2023; 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.