Organization Active NPI

Marc N Dubick MD PC

  • Specialist
  • Charleston, SC
National Provider Identifier
1790842508
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20700 Issued in SC
Legal business name
MARC N DUBICK MD PC
Practice address
835 Duck Hawk Retreat
Charleston, SC 29412
Phone
(843) 697-1671
Fax
(844) 406-4501
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Marc N Dubick, MD
Title
Owner
Phone
(843) 697-1671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 20700 SC Primary

Addresses

Primary practice location

835 Duck Hawk Retreat
Charleston, SC 29412

Mailing address

835 Duck Hawk Retreat
Charleston, SC 29412
Phone (843) 697-1671

National Provider Directory

National Provider Directory

Locations

1370 Ashley River Rd
Charleston, SC 29407
Phone (843) 573-3444

2097 Henry Tecklenburg Dr
Ste 203
Charleston, SC 29414
Phone (843) 571-5257

2097 Henry Tecklenburg Dr
#203W
Charleston, SC 29414
Phone (843) 573-3444

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1790842508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 DUCK HAWK RETREAT",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29412",
            "telephone_number": "843-697-1671",
            "fax_number": "844-406-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 DUCK HAWK RETREAT",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29412",
            "telephone_number": "843-697-1671",
            "fax_number": "844-406-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC N DUBICK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "DUBICK",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-697-1671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "20700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.