Active NPI
Cecelia Denise Durant, D.D.S.
- Pediatric Dentistry
- Brooklyn, NY
National Provider Identifier
1215083282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 036599
- Practice address
- 719 Franklin Ave
Brooklyn, NY 11238-4704 - Phone
- (646) 709-4192
- Fax
- (646) 410-0616
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 036599 | NY | Primary |
Addresses
Primary practice location
719 Franklin Ave
Brooklyn, NY 11238-4704
Mailing address
300 W 135TH St
7P
New York, NY 10030-2731
Phone (646) 709-4192
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036599 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1215083282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W 135TH ST",
"address_2": "7P",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100302731",
"telephone_number": "646-709-4192",
"fax_number": "646-410-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 FRANKLIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112384704",
"telephone_number": "646-709-4192",
"fax_number": "646-410-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURANT",
"first_name": "CECELIA",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "036599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.