Organization Active NPI

Paul R. Duryea DDS Ms PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Palm Harbor, FL
National Provider Identifier
1891822490
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN0008502 Issued in FL
Legal business name
PAUL R. DURYEA DDS MS PA
Practice address
2595 Tampa Rd
Suite I
Palm Harbor, FL 34684-3152
Phone
(727) 785-8847
Fax
(727) 785-9372
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul Russell Duryea, DDS,MS
Title
Orthodontist
Phone
(727) 785-8847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN0008502 FL Primary

Addresses

Primary practice location

2595 Tampa Rd
Suite I
Palm Harbor, FL 34684-3152

Mailing address

2595 Tampa Rd
Suite I
Palm Harbor, FL 34684-3152
Phone (727) 785-8847

National Provider Directory

National Provider Directory

Locations

2595 Tampa Rd
Ste I
Palm Harbor, FL 34684
Phone (727) 785-8847

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891822490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD",
            "address_2": "SUITE I",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843152",
            "telephone_number": "727-785-8847",
            "fax_number": "727-785-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD",
            "address_2": "SUITE I",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843152",
            "telephone_number": "727-785-8847",
            "fax_number": "727-785-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R. DURYEA DDS MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURYEA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "727-785-8847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN0008502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.