Javier Victor Duran, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021089 Issued in MI

Practice address

610 Collings Ave
West Collingswood, NJ 08107-1724

Phone

(856) 854-5848

NPI assigned

Dec 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Collingswood Dental Assoc PA

  • Dentist
  • West Collingswood, NJ
  • NPI 1922054360
  NPD (past)
• Great Lakes Bay Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saginaw, MI
  • NPI 1801907654
  NPD (past)
• Kevin S. Bone, D.D.S., PLC

  • General Practice Dentistry
  • Saginaw, MI
  • NPI 1922268465
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1316129059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 COLLINGS AVE",
            "city": "WEST COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081071724",
            "telephone_number": "856-854-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 COLLINGS AVE",
            "city": "WEST COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081071724",
            "telephone_number": "856-854-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "JAVIER",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037407",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Vernon Ballard Jr., D.D.S.
• Melissa S Chase, DO
• Collingswood Dental Assoc PA
• Hartford Universal Inc
• Roger Hugh Sheinkin, D.D.S.
• Olga Shvets, MS, CCC-SLP
• South Jersey Acupuncture and Wellness Center
• John M Tedeschi, MD

• General Practice Dentistry in West Collingswood, NJ
• Providers in West Collingswood, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.