Organization Active NPI

Mazen Duraini, DDS, MD, PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Irving, TX
National Provider Identifier
1578973483
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
MAZEN DURAINI, DDS, MD, PLLC
Practice address
6753 Cabrillo
Irving, TX 75039-3223
Phone
(469) 831-4246
NPI assigned
Apr 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Dr. Mazen Duraini, DDS, MD
Title
Oral and Maxillofacial Surgeon
Phone
(469) 831-4246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

6753 Cabrillo
Irving, TX 75039-3223

Mailing address

6753 Cabrillo
Irving, TX 75039-3223
Phone (469) 831-4246

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1578973483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6753 CABRILLO",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393223",
            "telephone_number": "469-831-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6753 CABRILLO",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393223",
            "telephone_number": "469-831-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZEN DURAINI, DDS, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "DURAINI",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "469-831-4246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.