Kenny Durandis

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20386 Issued in MA

Practice address

715 Crescent St Ste 9a
Brockton, MA 02302-3363

Phone

(508) 894-3001

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1992893283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WESTHAVEN DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011053",
            "telephone_number": "617-775-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CRESCENT ST STE 9A",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023363",
            "telephone_number": "508-894-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANDIS",
        "first_name": "KENNY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20386",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1000580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0296996",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree N Duplechin, M.A.
• Adelin Dupont
• Marie Yolaine Dupont, R.N.
• Felicia M Dupras, OD
• Felipe Durand, LICSW
• Heather Noelle Durban, PSY.D.
• Christine Pauline Durette
• Marlene Marie Durham
• Hailey Elizabeth Durso
• Helen Duru

• General Practice Dentistry in Brockton, MA
• Providers in Brockton, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.