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NPISignal

Individual Healthcare Provider

Dana Point, MD

NPI Record: ActiveUrology
NPI1659665560
Southport, North Carolina

Provider's NPPES record last updated: November 3, 2021

Overview

Entity Type
Individual Healthcare Provider
NPI
1659665560
Primary Specialty
Urology
Practice Location
Southport, North Carolina
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 2:58 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Urology

    Allopathic & Osteopathic Physicians

    Primary

    A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

    Taxonomy code 208800000X

Provider-Reported License Information

Urology (North Carolina)
2016-00414
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

4222 Long Beach Rd Se

Southport, North Carolina 28461-8627

Phone: (910) 763-2510

Additional Practice Location

5145 S College Rd

Wilmington, North Carolina 28412-2207

Phone: (910) 362-8765

Additional Practice Location

7420 Market St

Wilmington, North Carolina 28411-9453

Phone: (910) 362-8765

Additional Practice Location

1520 Physicians Dr

Wilmington, North Carolina 28401-7356

Phone: (910) 362-8765

Additional Practice Location

3009 Medical Plaza Ln

Southport, North Carolina 28461-5194

Phone: (910) 362-8765

Additional Practice Location

1333 S Dickinson Dr

Unit 230

Leland, North Carolina 28451-6430

Phone: (910) 254-1033

Additional Practice Location

1814 New Hanover Medical Park Dr

Wilmington, North Carolina 28403-5350

Phone: (910) 662-8765

Fax: (910) 362-9123

Additional Practice Location

1905 Glen Meade Rd

Wilmington, North Carolina 28403-6024

Phone: (919) 863-9441

Record Information

Enumeration Date
June 8, 2011
Provider's NPPES Record Last Updated
November 3, 2021
Certification Date
November 3, 2021
NPISignal NPPES Dataset
August 2026

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