Dustin Ryan Durden, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7602 Issued in NC

Practice address

2945 New Bern Ave.
Wirck & Associates
Raleigh, NC 27610

Phone

(919) 834-4932

Fax

(919) 834-7332

NPI assigned

Jul 17, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871511816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 SYCAMORE ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041325",
            "telephone_number": "919-832-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 NEW BERN AVE.",
            "address_2": "WIRCK & ASSOCIATES",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-834-4932",
            "fax_number": "919-834-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURDEN",
        "first_name": "DUSTIN",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902KA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duraleigh Gynecology PA
• Merlin Duran, MA, BCBA
• Durant Road Pediatrics
• Brandon Antoine Durant, MD
• Deliesha Durden
• Kaitlin Duren
• Marianna Durfor
• Durham Eye Care Assoicates, OD PLLC (Eye Care Associates)
• Durham Vamc
• Durham Vamc

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.