Dewayne Dubose, ATC, LAT

NPI: 1639786940

Dewayne Dubose, ATC, LAT

Q: What is Dewayne Dubose's NPI number?

Dewayne Dubose's NPI number is 1639786940, a unique 10-digit identifier issued by CMS.

Q: What does Dewayne Dubose specialize in?

Dewayne Dubose specializes in Specialty not listed, taxonomy code 2255A2300X.

Q: Where does Dewayne Dubose practice?

Dewayne Dubose practices in Ormond Beach, FL 32174-0692.

Q: When was Dewayne Dubose's NPI issued?

Dewayne Dubose's NPI was issued on September 30, 2020.

Q: What is Dewayne Dubose's provider type?

Dewayne Dubose is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSpecialty not listed

NPI issued: September 30, 2020

Quick Facts

NPI Number

1639786940

TypeIndividual

StatusActive

SpecialtySpecialty not listed

Taxonomy2255A2300X — Specialty not listed

Phone

(813) 362-7729

StateFL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1639786940)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (September 30, 2020)

Data source: CMS NPPES

Provider Overview

DEWAYNE DUBOSE, ATC, LAT is a Healthcare provider based in Ormond Beach, FL who has been registered with CMS since 2020. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1639786940

Provider TypeIndividual Provider

GenderMale

CredentialATC, LAT

StatusActive

Enumeration DateSeptember 30, 2020

Practice Location

CityOrmond Beach

StateFL

ZIP Code32174-0692

Phone(813) 362-7729

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code2255A2300X

License StateFL

Mailing Address

CityOrmond Beach

StateFL

ZIP Code32174-0692

Phone(813) 362-7729

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1639786940 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1639786940for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1639786940 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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