Amy Durisin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56075 Issued in CA

Practice address

5446 N Palm Ave
Suite 103
Fresno, CA 93704-1945

Phone

(559) 432-3220

Fax

(559) 432-1752

NPI assigned

May 5, 2008

Last updated

May 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amy M. Durisin D.D.S. Inc.

  • Dental Clinic/Center
  • Fresno, CA
  • NPI 1962665398
  NPD (past) Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1356517726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5446 N PALM AVE",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041945",
            "telephone_number": "559-432-3220",
            "fax_number": "559-432-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5446 N PALM AVE",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041945",
            "telephone_number": "559-432-3220",
            "fax_number": "559-432-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURISIN",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego Luis Durand Quiroga, MS.SLP
• Raquel Christine Dureza-Muneses, M.D.
• Catalino Dominic Dureza, M.D.
• John Durham, RPH
• Kimberly Ann Durham, NP
• Richard Duron
• Jonell Cox Dustin, LCSW
• Raksha Ramesh Dutt
• Nabonita Dutta
• Dva Healthcare Renal Care Inc (Fresno Dialysis)

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.