Individual provider Active NPI

David D Duong, CNP

  • Family Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1740945583
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0030084 Issued in OH
Practice address
840 NW Washington Blvd Ste C
Hamilton, OH 45013-6381
Phone
(513) 737-7246
Fax
(513) 737-6601
NPI assigned
Nov 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 0030084 OH Primary

Addresses

Primary practice location

840 NW Washington Blvd Ste C
Hamilton, OH 45013-6381

Mailing address

840 NW Washington Blvd Ste C
Hamilton, OH 45013-6381
Phone (951) 231-3106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220324001527 OH Practitioner - Nurse Practitioner 3375938509 Reassigns benefits to 1 organization
I20250825004337 CA Practitioner - Nurse Practitioner 3375938509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1855 W Redlands Blvd
FL 2
Redlands, CA 92373-3145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0030084OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beresh Pain Management Single Specialty CurrentSince Feb 12, 2024 Accepting new patients
Lasalle Medical Associates CurrentSince Jun 16, 2025 Accepting new patients
Lasalle Medical Associates Single Specialty CurrentSince Jun 16, 2025 Accepting new patients
Helen Holtman, M.D. and Associates Inc. Single Specialty PastSince Feb 12, 2024 Accepting new patients

Locations

17577 Arrow Blvd
Fontana, CA 92335
Phone (909) 823-4454

16455 Main St
Ste 1
Hesperia, CA 92345
Phone (760) 947-2161

1855 W Redlands Blvd
Fl 2
Redlands, CA 92373
Phone (909) 890-0407

685 Carnegie Dr
Ste 230
Sn Bernrdno, CA 92408
Phone (909) 890-0407

840 NW Washington Blvd
Ste C
Hamilton, OH 45013
Phone (513) 737-7246

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1258/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1636156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1740945583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD STE C",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136381",
            "telephone_number": "951-231-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD STE C",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136381",
            "telephone_number": "513-737-7246",
            "fax_number": "513-737-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "DAVID",
        "middle_name": "D",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-06",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0030084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.