Individual provider Active NPI

Daniel Gerald Durchslag, DDS

  • Dentist
  • Valencia, CA
National Provider Identifier
1902042302
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26052 Issued in CA
Practice address
24250 Town Center Dr Ste 160
Valencia, CA 91355-4473
Phone
(661) 259-3700
NPI assigned
Jan 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 26052 CA Primary

Addresses

Primary practice location

24250 Town Center Dr Ste 160
Valencia, CA 91355-4473

Mailing address

24622 Cordera CT
Valencia, CA 91355-2042
Phone (661) 373-9190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26052CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1902042302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24622 CORDERA CT",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552042",
            "telephone_number": "661-373-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24250 TOWN CENTER DR STE 160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554473",
            "telephone_number": "661-259-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURCHSLAG",
        "first_name": "DANIEL",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "26052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.