Daniel Duroseau, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48452 Issued in CA

Practice address

270 E 7TH St
Suite 2D
Upland, CA 91786-6602

Phone

(909) 608-2390

Fax

(909) 608-2307

NPI assigned

Mar 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Daniel Duroseau Former name

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Health Centers of Southeastern Iowa Inc

  • Federally Qualified Health Center (FQHC)
  • West Burlington, IA
  • NPI 1255339750
  Medicare reassignment NPD
• Kingdom Dental Care

  • Dental Clinic/Center
  • Belle Plaine, IA
  • NPI 1619852423
  NPD Authorized official
• Daniel Duroseau DDS Inc

  • General Practice Dentistry
  • Upland, CA
  • NPI 1003084229
  NPD (past) Authorized official
• Community Health Centers of Southeastern Iowa, Inc

  • Federally Qualified Health Center (FQHC)
  • West Burlington, IA
  • NPI 1144044637
  NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932239845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E 7TH ST",
            "address_2": "SUITE 2D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866602",
            "telephone_number": "909-608-2390",
            "fax_number": "909-608-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E 7TH ST",
            "address_2": "SUITE 2D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866602",
            "telephone_number": "909-608-2390",
            "fax_number": "909-608-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUROSEAU",
        "first_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "DUROSEAU",
            "prefix": "DR.",
            "credential": "DDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Enrique Madrid Duran, MFT PRE-LICENSED
• Danella Durango-Perez
• Kennedy Teresa Durant
• Roman Duro
• Nancy Guadalupe Duron, ASCW
• Bruce Granger Duvall, O.D.
• Dva Healthcare Renal Care Inc (Upland Dialysis)
• Dwaraknath P. Reddy, M.D.
• Joseph Dwyer
• Dynamic Performance Physical Therapy Inc (Kore Physical Therapy)

• General Practice Dentistry in Upland, CA
• Providers in Upland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.