Gabriela V Duraes, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.028921 Issued in IL

Practice address

156 E Lake St
Suite a
Bloomingdale, IL 60108-1184

Phone

(630) 295-9600

Fax

(630) 735-2712

NPI assigned

Mar 27, 2012

Last updated

Nov 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Gabriela Versiani Duraes Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Versiani Dental PC

  dba Blooming Smiles Chicago

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1245858695
  NPD Authorized official

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1164798864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 E LAKE ST",
            "address_2": "SUITE A",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081184",
            "telephone_number": "630-295-9600",
            "fax_number": "630-735-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 E LAKE ST",
            "address_2": "SUITE A",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081184",
            "telephone_number": "630-295-9600",
            "fax_number": "630-735-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAES",
        "first_name": "GABRIELA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELA",
            "last_name": "DURAES",
            "middle_name": "VERSIANI",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dupage Cardiology SC
• Dupage Medical Group LTD
• Dupage Medical Group, LTD.
• Dupage Meta-Vascular Medicine PC
• Duraes Jham Dental, P.C
• Autumn Blaire M Durias, O.D.
• Daniel Patrick Durkin, DC
• Ears in Bloom Audiology, LLC
• Jasmin L Eco, D.D.S.
• Zachary Edsey

• General Practice Dentistry in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.