DR. ELIZABETH RENEE DURAN (NPI# 1487144168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487144168 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH RENEE DURAN |
| Credential | DMD |
| Practice Address |
20 York Street Ynhh and Pediatric Dentistry New Haven CT 06510-3220 |
| Mailing Address |
Solomon Kids Pediatric Dentistry 491 W. Butternut Road Summerville SC 29483 |
| Practice Telephone | 2036884242 |
| Mailing Telephone | 8434191368 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9599 | SC | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 12178 | CT | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801358122 | Elizabeth Duran | Nurse Practitioner | 6720 Bertner Ave # O-520, Houston, TX 77030-2604 | 2019-04-04 |
| 1952794638 | Elizabeth Duran | Radiology | Urb San Gerardo, Calle Augusta 1761, San Juan, PR 00926 | 2015-03-05 |
| 1073663522 | Elizabeth A Duran | Occupational Therapist | 601 W 5th Ave Ste 304, Spokane, WA 99204-2714 | 2007-01-10 |
| 1144708751 | Elizabeth Duran | Student in an Organized Health Care Education/Training Program | 125 Broad Street, New York, NY 10004-1000 | 2018-08-06 |
| 1023300258 | Elizabeth Duran | Rehabilitation Practitioner | 12510 Van Nuys Blvd, Suite 201, Pacoima, CA 91331-1338 | 2011-05-05 |
| 1780802769 | Elizabeth Duran | Case Manager/Care Coordinator | 1100 S Main St, Bldg B Ste 20, Las Cruces, NM 88005-2917 | 2007-04-23 |
| 1467502989 | Elizabeth H Duran | Social Worker | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2007-01-10 |
| Street Address |
20 YORK STREET YNHH AND PEDIATRIC DENTISTRY |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502621 | Frans J Wackers | Radiology | 20 York Street, Y-nhh South Pavilion 2nd Fl, New Haven, CT 06510 | 2005-10-17 |
| 1750990586 | Olivia Michelle Mulla | Physician Assistant | 20 York Street, Cb-329, New Haven, CT 06510 | 2020-07-28 |
| 1861000770 | Courtney Lois Miniter | Nurse Anesthetist, Certified Registered | 20 York Street, New Haven, CT 06510-3220 | 2020-07-16 |
| 1396369245 | Andrea Ellen Para Lincoln | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-06-05 |
| 1679195275 | Paul Stockhammer | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-18 |
| 1386266054 | Ayomipo Sarah Madein | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 266, New Haven, CT 06510-3220 | 2020-05-15 |
| 1437771300 | Juan Jose Silva Campos | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-13 |
| 1659993855 | Eliaz Nahum Brumer | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-11 |
| 1942820477 | Long Qian | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-04-24 |
| 1043830649 | Eesha Vijaykumar Natarajan | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871782458 | Sara Ysaac-garcia | Dentist | 990 State St, New Haven, CT 06511-3944 | 2007-10-18 |
| 1811027444 | Elise M Cozzi | Dentist | 860 Howard Ave, New Haven, CT 06519-1106 | 2007-03-06 |
| 1184624058 | Donald William Kohn | Dentist | 991 State St, New Haven, CT 06511-3929 | 2005-07-21 |
| 1023574845 | Sleepy Smiles Ct LLC | Dentist | 1 Park St, New Haven, CT 06504-8901 | 2019-02-17 |
| 1275982647 | Swapnil Singh Mahendrakar | Dentist | 1 Long Wharf Dr, Ynhh Pediatric Dentistry, Ste 403, New Haven, CT 06511 | 2016-06-07 |
| 1720465321 | Dexter Yee | Dentist | 1 Long Wharf Dr Fl 4, New Haven, CT 06511-5991 | 2015-05-04 |
| 1245676170 | Ben S. Popple | Dentist | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-05-19 |
| 1306104682 | Michael Sultan | Dentist | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2012-04-24 |
| 1417139916 | Kinnari Desai | Dentist | 991 State St, New Haven, CT 06511-3993 | 2007-11-27 |
| 1093916330 | Suher Baker | Dentist | 20 York St, Yale New Haven Hospital Dental Department, New Haven, CT 06510-3220 | 2007-05-31 |
| Find all providers in NEW HAVEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.