Active NPI
Nathan Christopher Duran, RDH
- Dental Hygienist
- Mora, NM
National Provider Identifier
1245717693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH4912
- Practice address
- 3 Mora Valley Clinic Rd
Mora, NM 87732-2202 - Phone
- (505) 387-2201
- Fax
- (575) 387-9006
- NPI assigned
- Jul 27, 2018
- Last updated
- Jul 27, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH4912 | NM | Primary |
Addresses
Primary practice location
3 Mora Valley Clinic Rd
Mora, NM 87732-2202
Mailing address
PO Box 209
Mora, NM 87732-0209
Phone (575) 387-2201
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 |
|---|---|---|---|
| DH4912 | NM | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1245717693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 209",
"city": "MORA",
"state": "NM",
"postal_code": "877320209",
"telephone_number": "575-387-2201",
"fax_number": "575-387-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MORA VALLEY CLINIC RD",
"city": "MORA",
"state": "NM",
"postal_code": "877322202",
"telephone_number": "505-387-2201",
"fax_number": "575-387-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "NATHAN",
"middle_name": "CHRISTOPHER",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-27",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NM",
"license": "DH4912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mora, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.