Individual provider Active NPI

Terry T Durbin, DDS

  • Dental Anesthesiology
  • York, PA
National Provider Identifier
1699725382
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
DA020977A Issued in PA
Practice address
2690 Southfield Dr Ste a
York, PA 17403-4510
Phone
(717) 741-1414
Fax
(717) 741-4774
NPI assigned
May 11, 2006
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X DS020977L PA
Anesthesiology Physician 207L00000X DA020977A PA
Hospice and Palliative Medicine (Anesthesiology) Physician 207LH0002X DA020977A PA
Dental Anesthesiology 1223D0004X DA020977A PA Primary
Dentist 122300000X DA020977A PA

Addresses

Primary practice location

2690 Southfield Dr Ste a
York, PA 17403-4510

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612

Other practice location 1

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282

Other practice location 2

1500 Highlands Dr
Lititz, PA 17543-7694
Phone (717) 782-5118

Other identifiers 1

IdentifierTypeStateIssuer
102767799MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tdurbin62258@phsdirect.pinnaclehealth.org
Direct Messaging Address tdurbin62258@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20080125000067 PA Practitioner - Dental AnesthesiologyPractitioner - AnesthesiologyPractitioner - Oral SurgeryPractitioner - Dentist 1951483247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dental AnesthesiologyAlso: Anesthesiology, Dentist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS020977LPAMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Sep 14, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 14, 2020 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Anesthesiology CurrentSince Apr 11, 2018 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Apr 11, 2018 Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

250 College Ave
Lancaster, PA 17603
Phone (717) 291-8211

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

2690 Southfield Dr
York, PA 17403
Phone (717) 741-1414

2690 Southfield Dr
#A
York, PA 17403
Phone (717) 741-1414

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1699725382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 SOUTHFIELD DR STE A",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034510",
            "telephone_number": "717-741-1414",
            "fax_number": "717-741-4774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171012010",
            "country_code": "US",
            "telephone_number": "717-782-3282",
            "fax_number": "717-231-8964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Highlands Dr",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175437694",
            "country_code": "US",
            "telephone_number": "717-782-5118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "TERRY",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "PA",
            "license": "DS020977L",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "DA020977A",
            "primary": false
        },
        {
            "code": "207LH0002X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "PA",
            "license": "DA020977A",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "PA",
            "license": "DA020977A",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DA020977A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102767799",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdurbin62258@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "111 S Front St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171012010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdurbin62258@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2690 Southfield Dr Ste A",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174034510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.