Individual provider Active NPI

Perry Walker Durant, DMD

  • General Practice Dentistry
  • Beaufort, SC
National Provider Identifier
1760499289
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2022 Issued in SC
Practice address
154 Sea Island Pkwy
Beaufort, SC 29907-1502
Phone
(843) 986-0177
Fax
(843) 986-0644
NPI assigned
Aug 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
General Practice Dentistry 1223G0001X 2022 SC Primary

Addresses

Primary practice location

154 Sea Island Pkwy
Beaufort, SC 29907-1502

Mailing address

154 Sea Island Pkwy
Beaufort, SC 29907-1502
Phone (843) 986-0177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20160211002895 SC Order and Referring Only - DentistPractitioner - Dentist 5496059404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Family Dentistry of Beaufort, PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760499289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 SEA ISLAND PKWY",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071502",
            "telephone_number": "843-986-0177",
            "fax_number": "843-986-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 SEA ISLAND PKWY",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071502",
            "telephone_number": "843-986-0177",
            "fax_number": "843-986-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANT",
        "first_name": "PERRY",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.