Robert J Durick, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-01-7649 Issued in OH

Practice address

6205 Market St
Youngstown, OH 44512-3330

Phone

(330) 726-6205

Fax

(330) 726-5885

NPI assigned

Feb 13, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: rdurick34604@direct.bsmhealth.org

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659344299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445123330",
            "telephone_number": "330-726-6205",
            "fax_number": "330-726-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445123330",
            "telephone_number": "330-726-6205",
            "fax_number": "330-726-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURICK",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-01-7649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0593059",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Dunleavy
• Haley Dunn
• Katelyn Rose Dunn
• Durable Medical
• Miranda Durbin
• Kaitlyn Marie Durina, APRN
• Greg Durkin, RD, LD
• Alaina Dusse, FNP-C
• Victor Martin Dutko Jr., DDS
• Renee Dutton

• General Practice Dentistry in Youngstown, OH
• Providers in Youngstown, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.