Organization Active NPI

Richard a Dube

  • General Practice Physician
  • Stuart, FL
National Provider Identifier
1902204860
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME36471 Issued in FL
Legal business name
RICHARD A DUBE
Practice address
1500 SE Palm Beach Rd
Stuart, FL 34994-4044
Phone
(772) 631-6265
NPI assigned
Dec 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Dr. Richard A Dube, M.D.
Title
Owner
Phone
(772) 223-0983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME36471 FL Primary

Addresses

Primary practice location

1500 SE Palm Beach Rd
Stuart, FL 34994-4044

Mailing address

7 Country Club Cir
Tequesta, FL 33469-2006
Phone (772) 631-6265

Other identifiers 1

IdentifierTypeStateIssuer
0669601MedicaidFL

Other names 1

  • Richard A Dube MD SNFS Other name

National Provider Directory

National Provider Directory

Locations

1500 SE Palm Beach Rd
Stuart, FL 34994
Phone (561) 745-3893

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1902204860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COUNTRY CLUB CIR",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692006",
            "telephone_number": "772-631-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SE PALM BEACH RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944044",
            "telephone_number": "772-631-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A DUBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "DUBE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-223-0983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME36471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0669601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard A Dube MD SNFS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.