Organization Active NPI

Joel R Duray DDS LTD

  • Dental Clinic/Center
  • Waite Park, MN
National Provider Identifier
1851982805
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOEL R DURAY DDS LTD
Practice address
758 1St St S
Waite Park, MN 56387-1315
Phone
(320) 253-1011
Fax
(320) 253-1034
NPI assigned
Feb 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Dr. Joel Randolph Duray, DDSNPI 1447310669
Title
Dentist/Owner
Phone
(320) 253-1011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

758 1St St S
Waite Park, MN 56387-1315

Mailing address

758 1St St S
Waite Park, MN 56387-1315
Phone (320) 253-1011

Other identifiers 1

IdentifierTypeStateIssuer
290814000MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.duraydentalcare.com Direct

National Provider Directory

National Provider Directory

Locations

758 1st St S
Waite Park, MN 56387
Phone (320) 253-1011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1851982805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 1ST ST S",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871315",
            "telephone_number": "320-253-1011",
            "fax_number": "320-253-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 1ST ST S",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871315",
            "telephone_number": "320-253-1011",
            "fax_number": "320-253-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL R DURAY DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "DURAY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "320-253-1011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290814000",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.duraydentalcare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "758 1st St S",
            "city": "Waite Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563871315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waite Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.