Douglas F. Degroote, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4050 Issued in NC

Legal business name

DOUGLAS F. DEGROOTE, DDS

Practice address

2250 Shipyard Blvd Ste 15
Wilmington, NC 28403-8070

Phone

(910) 452-1700

Fax

(910) 452-3671

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Forrest Degroote, DDSNPI 1679573976

Title

Oral Surgeon

Phone

(910) 452-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Forrest Degroote, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, NC
  • NPI 1679573976
  NPD (past) Authorized official

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1811174352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 SHIPYARD BLVD STE 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 STE 15",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038070",
            "telephone_number": "910-452-1700",
            "fax_number": "910-452-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS F. DEGROOTE, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "DEGROOTE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "FORREST",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "910-452-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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": []
}

• Doubleton, LLC
• Meghan Elizabeth Dougherty, M.D.
• Regan B Dougherty
• Ryan Dougherty, PA-C
• Ryan Cameron Dougherty, M.D.
• Douglas L. Fowler, DDS, PLLC
• Kylie Erin Douglas, BCBA
• Haeli Dove
• Kelli Avery Dove, CRNA
• Summer Dow

• 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 28, 2008; 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.