Douglas E Duval, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2041 Issued in NH

Practice address

1142 Somerville St
Manchester, NH 03103-2847

Phone

(603) 622-9225

Fax

(603) 624-1695

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Douglas E Duval, DDS, PA

  • Dentist
  • Manchester, NH
  • NPI 1134257447
  NPD (past) Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1619005923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 SOMERVILLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032847",
            "telephone_number": "603-226-4649",
            "fax_number": "603-226-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 SOMERVILLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032847",
            "telephone_number": "603-622-9225",
            "fax_number": "603-624-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "2041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30011476",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Ashton Durgin, PA-C
• Emily Durham, PT, DPT, OCS, PRPC
• Steven W Durost, LCMHC, REAT
• Ramesh Durvasula, D.M.D.
• Julio Dutra, FNP-C
• Kathleen Duval, APRN
• Moresvy Duval
• Neil Everett Duval, ATC
• Nicole Duval, RDH
• Sandra Elizabeth Dwan, FNP-C

• Dentist in Manchester, NH
• Providers in Manchester, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.