Active NPI
Eddon Duran, D.D.S.
- General Practice Dentistry
- Union City, CA
National Provider Identifier
1295849370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- AD22341
- Practice address
- 4138 Dyer St
Suite 2
Union City, CA 94587-3975 - Phone
- (151) 048-7031
- Fax
- (151) 048-7038
- NPI assigned
- Aug 18, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | AD22341 | CA | Primary |
Addresses
Primary practice location
4138 Dyer St
Suite 2
Union City, CA 94587-3975
Mailing address
4138 Dyer St
Suite 2
Union City, CA 94587-3975
Phone (151) 048-7031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD22341 | Other | CA | DENTAL STATE LICENSE |
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 |
|---|---|---|---|
| AD22341 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295849370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4138 DYER ST",
"address_2": "SUITE 2",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945873975",
"telephone_number": "151-048-7031",
"fax_number": "151-048-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4138 DYER ST",
"address_2": "SUITE 2",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945873975",
"telephone_number": "151-048-7031",
"fax_number": "151-048-7038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "EDDON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "AD22341",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL STATE LICENSE",
"identifier": "AD22341",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Union City, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.