Individual provider Active NPI

John C Durling II

  • Dentist
  • Joplin, MO
National Provider Identifier
1720112675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2000144128 Issued in MO
Practice address
2827 Arizona Ave
Joplin, MO 64804-3102
Phone
(417) 782-5005
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2000144128 MO Primary

Addresses

Primary practice location

2827 Arizona Ave
Joplin, MO 64804-3102

Mailing address

100 Royal Oak Dr
Joplin, MO 64801-9786
Phone (417) 673-2002

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160118000822 MO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8527361088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720112675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROYAL OAK DR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648019786",
            "telephone_number": "417-673-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 ARIZONA AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043102",
            "telephone_number": "417-782-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURLING",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2000144128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.