NPIMap

Organization Active NPI

Dura Medical LLC

  • Clinic/Center
  • Naples, FL
National Provider Identifier
1467924829
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DURA MEDICAL LLC
Practice address
1575 Pine Ridge Rd Ste 16
Naples, FL 34109-2110
Phone
(239) 494-2346
NPI assigned
Dec 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Stephen E DurandNPI 1265584411
Title
Owner
Phone
(239) 494-2346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1575 Pine Ridge Rd Ste 16
Naples, FL 34109-2110

Mailing address

1575 Pine Ridge Rd Ste 16
Naples, FL 34109-2110
Phone (239) 494-2346

Other identifiers 1

IdentifierTypeStateIssuer
208124900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190401000727 FL Part B Supplier - Clinic/Group Practice 1254672272 Receives reassigned benefits from 21 practitioners
Practice locations: Fort Myers, FL; Naples, FL

National Provider Directory

National Provider Directory

Locations

6804 Porto Fino Cir
Ste 1
Fort Myers, FL 33912
Phone (239) 332-4700

1575 Pine Ridge Rd
Ste 16
Naples, FL 34109
Phone (239) 734-3481

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21560/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1467924829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 PINE RIDGE RD STE 16",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092110",
            "telephone_number": "239-494-2346",
            "fax_number": "239-236-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 PINE RIDGE RD STE 16",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092110",
            "telephone_number": "239-494-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "DURAND",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-494-2346"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208124900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.