Mark Francis Duvernois, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

20751 Issued in TX

Practice address

7211 N Mesa St
Suite 1 South
El Paso, TX 79912-3611

Phone

(915) 833-2827

Fax

(915) 587-8995

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Central Florida Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Orlando, FL
  • NPI 1053365338
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245284306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 CACTUS HILL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126304",
            "telephone_number": "915-875-0110",
            "fax_number": "915-587-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 N MESA ST",
            "address_2": "SUITE 1 SOUTH",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123611",
            "telephone_number": "915-833-2827",
            "fax_number": "915-587-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVERNOIS",
        "first_name": "MARK",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "20751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Durussel, M.D.
• Durwood Spencer DDS PC
• Durwood Spencer DDS.PC
• Asbel Duvallon-Ferrer
• Kimberly Duvernois
• Dwayne Friday, M.D., PLLC
• Kelly Layne Dyck
• Dyer Dental Care PLLC
• Dyer Family Dentistry, PLLC
• Dynamic Care Rehab

• Oral and Maxillofacial Surgery (Dentist) in El Paso, TX
• Providers in El Paso, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.