Active NPI
David Kenneth Durfee, DDS
- Student in an Organized Health Care Education/Training Program
- Holladay, UT
National Provider Identifier
1043896087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1377 E 3900 S Ste 101
Holladay, UT 84124-1489 - Phone
- (801) 277-8222
- NPI assigned
- Mar 21, 2021
- Last updated
- Jun 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12879557-9923 | UT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
1377 E 3900 S Ste 101
Holladay, UT 84124-1489
Mailing address
8702 Cinnamon Creek Dr Apt 204
San Antonio, TX 78240-4517
Phone (720) 291-4436
Other practice location 1
576 W Pacific Dr
American Fork, UT 84003-1406
Phone (801) 756-1009
Other practice location 2
8210 Floyd Curl Dr Dept Of
San Antonio, TX 78229
Phone (210) 450-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12879557-9923 | UT | MD | General Practice Dentistry |
Interoperability endpoints
- ddurfee60812@direct.utmsa.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1043896087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8702 CINNAMON CREEK DR APT 204",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404517",
"telephone_number": "720-291-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1377 E 3900 S STE 101",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841241489",
"telephone_number": "801-277-8222"
}
],
"practiceLocations": [
{
"address_1": "576 W Pacific Dr",
"address_purpose": "LOCATION",
"city": "American Fork",
"state": "UT",
"postal_code": "840031406",
"country_code": "US",
"telephone_number": "801-756-1009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8210 Floyd Curl Dr Dept Of",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "78229",
"country_code": "US",
"telephone_number": "210-450-3636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURFEE",
"first_name": "DAVID",
"middle_name": "KENNETH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-21",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "12879557-9923",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holladay, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.