Douglas D Durst, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5806 Issued in OK

Practice address

51 Gooder Simpson Boulevard NE
Suite a
Piedmont, OK 73078-5931

Phone

(405) 373-2119

NPI assigned

Sep 13, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 7, 2016 through Jul 7, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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 D Durst DDS PC

  • General Practice Dentistry
  • Piedmont, OK
  • NPI 1508080235
  NPD Authorized official
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689779167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GOODER SIMPSON BOULEVARD NE",
            "address_2": "SUITE A",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730785931",
            "telephone_number": "405-373-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 GOODER SIMPSON BOULEVARD NE",
            "address_2": "SUITE A",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730785931",
            "telephone_number": "405-373-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURST",
        "first_name": "DOUGLAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Davis, D.PH.
• Discover Chiropractic Family and Wellness LLC
• Bryce Dodge
• Douglas D Durst DDS PC
• Pamela Michelle Dowdy
• Cheryl Dyer
• Nicoline Lami Edie, FNP
• F&E Cummings LLC
• Julie Ford
• Lydia Ruth Anne Foxen

• General Practice Dentistry in Piedmont, OK
• Providers in Piedmont, OK by specialty
• General Practice Dentistry in Oklahoma

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.