David Louis Defurio, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6609-15 Issued in WI

Practice address

2601 Taylor Ave
Racine, WI 53403-2865

Phone

(262) 632-3156

Fax

(262) 632-3063

NPI assigned

Sep 20, 2010

Last updated

Sep 20, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Southwest Dental Group, S.C.

  • General Practice Dentistry
  • Racine, WI
  • NPI 1003942319
  NPD (past)
• Southwest Family Dental Care LLC

  • Dentist
  • Racine, WI
  • NPI 1730781352
  NPD (past)

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1396053732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 TAYLOR AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032865",
            "telephone_number": "262-632-3156",
            "fax_number": "262-632-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 TAYLOR AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032865",
            "telephone_number": "262-632-3156",
            "fax_number": "262-632-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFURIO",
        "first_name": "DAVID",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6609-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaniece Davis
• Lynn De la Torre, PT
• Stephen Arthur Declark, LCSW
• Rieanna Dee, MS, OTR
• Tom A Defrancesco, LCSW, CADC
• Richard L. Defurio, D.D.S.
• Joyce Shirley Degenhart, PHD
• Jesse Varney Degroat Jr., M.D.
• Kaylee Deisbeck
• Carole Ann Della Pia, LCSW

• General Practice Dentistry in Racine, WI
• Providers in Racine, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.