Peter Durbin, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021.003177 Issued in IL

Practice address

1355 E Golf Rd
Des Plaines, IL 60016-1544

Phone

(847) 824-0154

NPI assigned

Jan 3, 2023

Last updated

Jan 3, 2023By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Peter M. Durbin, D.D.S., M.S., P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Des Plaines, IL
  • NPI 1073379160
  NPD Authorized official

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1447963681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 SAINT ANDREWS LN",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600674361",
            "telephone_number": "224-217-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161544",
            "telephone_number": "847-824-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "PETER",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021.003177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Mary Duggan, D.D.S.
• James M Dugo, PH. D.
• Mathew Francis Dumstorf, M.D., M.S.
• Jennifer Duong, DMD
• Michael Gerard Durbin, D.D.S., M.S.
• James R Durkowski, RPH
• Ibukun Ayodeji Durosanya
• Dva Renal Healthcare, Inc. (Des Plaines Home Training Dialysis)
• Howard Dvorin
• Robin L. Dyer, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.