Individual provider Active NPI

Scott Holt Durand, DDS

  • General Practice Dentistry
  • Wabasha, MN
National Provider Identifier
1467719310
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D13074 Issued in MN
Practice address
115 Main St E
Wabasha, MN 55981-1420
Phone
(651) 262-8735
NPI assigned
Apr 17, 2012
Last updated
Jun 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D13074 MN Primary

Addresses

Primary practice location

115 Main St E
Wabasha, MN 55981-1420

Mailing address

115 Main St E
Wabasha, MN 55981-1420
Phone (651) 262-8735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20151209002162 MN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9133420508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D13074MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wabasha Dentistry LLC General Practice Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1467719310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAIN ST E",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811420",
            "telephone_number": "651-262-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN ST E",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811420",
            "telephone_number": "651-262-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAND",
        "first_name": "SCOTT",
        "middle_name": "HOLT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabasha, MN

Sources for this page

Verify at the official NPI Registry.