Active NPI
August James Durso Jr., D.D.S.
- Dentist
- Mount Prospect, IL
National Provider Identifier
1568558989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019-019044
- Practice address
- 1728 E Kensington Rd
Mount Prospect, IL 60056-1900 - Phone
- (847) 635-0117
- Fax
- (847) 635-8562
- NPI assigned
- Oct 4, 2006
- Last updated
- Aug 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019-019044 | IL | Primary |
Addresses
Primary practice location
1728 E Kensington Rd
Mount Prospect, IL 60056-1900
Mailing address
1661 Feehanville Dr.
Ste. 420
Mount Prospect, IL 60056-1900
Phone (847) 635-0117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-019044 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edp of Illinois P.C | Past | Accepting new patients | |
| August J. Durso, Jr. DDS, LTD. | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1568558989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 FEEHANVILLE DR.",
"address_2": "STE. 420",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600561900",
"telephone_number": "847-635-0117",
"fax_number": "847-635-8562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1728 E KENSINGTON RD",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600561900",
"telephone_number": "847-635-0117",
"fax_number": "847-635-8562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURSO",
"first_name": "AUGUST",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-019044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.