MR. JACK EDWARD DURAN (NPI# 1366521965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366521965 |
| Entity Type | Individual |
| Full Name | MR. JACK EDWARD DURAN |
| Credential | DDS MS LLC |
| Practice Address |
3601 S Clarkson St #430 Englewood CO 80113-3948 |
| Practice Telephone | 3037899257 |
| Practice Fax Number | 3037890732 |
| Mailing Telephone | 3037899257 |
| Mailing Fax Number | 3037890732 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7453 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 31976531 | 05 |
| Street Address |
3601 S CLARKSON ST #430 |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80113-3948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717761 | Paul M Hayes | Dentist | 3601 S Clarkson St, Ste 410, Englewood, CO 80113-3944 | 2005-08-12 |
| 1841798592 | Perryman Maynard II | Chiropractor | 3601 S Clarkson St, Englewood, CO 80113-3944 | 2018-01-29 |
| 1497179840 | Jj's Optical | Eyewear Supplier (Equipment, not the service) | 3601 S Clarkson St, Suite 115, Englewood, CO 80113-3944 | 2014-02-05 |
| 1861514093 | Spectacles Distinctive Eyewear | Eyewear Supplier (Equipment, not the service) | 3601 S Clarkson St, Suite 115, Englewood, CO 80113-3944 | 2007-04-06 |
| 1083736540 | Richard Franklin Grenhart | Psychologist | 3601 S Clarkson St, Suite 540, Englewood, CO 80113-3944 | 2007-04-04 |
| 1770604324 | Peter Kimball Spence | Dentist | 3601 S Clarkson St, 315, Englewood, CO 80113-3944 | 2007-04-02 |
| 1023140548 | Stephen Michael Allen | Psychiatry & Neurology | 3601 S Clarkson St, Suite 540, Englewood, CO 80113-3944 | 2007-03-10 |
| 1073640694 | Gary A. Jamell Md PC | Ophthalmology | 3601 S Clarkson St, Suite 120, Englewood, CO 80113-3944 | 2007-02-28 |
| 1356401152 | William J Bowman Md PC | Dermatology | 3601 S Clarkson St, Suite 530, Englewood, CO 80113-3944 | 2006-12-11 |
| 1255433488 | Kim Lee Kuhlke | Dentist | 3601 S Clarkson St, #400, Englewood, CO 80113 | 2006-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1518489178 | High Five Home Care LLC. | In Home Supportive Care | 4055 S Broadway, Suite #102, Englewood, CO 80113 | 2017-07-14 |
| 1720518426 | Chelsea M Bega | Audiologist | 3439 S Lincoln St, Englewood, CO 80113 | 2017-06-14 |
| 1689110272 | Mary Frances Mckinley | Physical Therapy Assistant | 3460 S Downing Street, Englewood, CO 80113 | 2017-01-06 |
| 1295190585 | Kassandra Dominique Hill | Nurse's Aide | 3301 S Whaington St, Apt.109, Englewood, CO 80113 | 2015-12-31 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1669807392 | Jill C Tomaso | Occupational Therapist | 3218 South Logan Street, Englewood, CO 80113 | 2013-09-12 |
| 1255683868 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3495 S University Blvd, Englewood, CO 80113 | 2012-10-05 |
| 1700137825 | Stanley Leon Hannah | General Practice | 5 Martin Lane, Cherry Hills Village, CO 80113 | 2012-09-28 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| Find all providers in zip 80113 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942315221 | Theodore Richard Pope | Dentist | 16 W Wenger Rd, Englewood, OH 45322-2724 | 2006-08-20 |
| 1306336318 | Kids Mile High Pediatric Dentistry and Orthodontics, Pllc | Dentist | 125 Inverness Dr E Ste 300, Englewood, CO 80112-5139 | 2018-05-15 |
| 1902331499 | Douglas Henick | Dentist | 300 Grand Ave Ste 101, Englewood, NJ 07631-6300 | 2017-04-21 |
| 1902356421 | Washington Heights Orthodontics | Dentist | 15 Engle St, Suite 303, Englewood, NJ 07631-2936 | 2016-10-07 |
| 1609253582 | Diamond Braces of Norwalk | Dentist | 15 Engle St, Suite 303, Englewood, NJ 07631-2936 | 2015-04-30 |
| 1710375498 | Diamond Braces of Norwalk | Dentist | 15 Engle St, Suite 303, Englewood, NJ 07631-2936 | 2015-01-02 |
| 1750785101 | O'brien Orthodontics LLC | Dentist | 16 W Wenger Rd, Englewood, OH 45322-2724 | 2014-10-14 |
| 1154649291 | Bo Young Yun | Dentist | 200 Engle St Ste 16, Englewood, NJ 07631-2417 | 2010-05-13 |
| 1215155387 | Theodore R. Pope Dds Inc | Dentist | 16 W Wenger Rd, Englewood, OH 45322-2724 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996641 | Simko Orthodontics of Colorado, PC | Dentist | 6850 E Hampden Ave Ste 201, Denver, CO 80224-3024 | 2020-09-09 |
| 1457977407 | Ingrid De La Torre | Dentist | 16533 E 49th Ave Apt 208, Denver, CO 80239-5884 | 2020-06-24 |
| 1205450525 | David Wayne Hamula | Dentist | 1860 Woodmoor Dr Ste 200, Monument, CO 80132-9073 | 2020-06-02 |
| 1285260927 | Johnson Orthodontics | Dentist | 5850 Tutt Center Pt Ste 100, Colorado Springs, CO 80922-3520 | 2020-03-13 |
| 1003441049 | Johnson Orthodontics | Dentist | 15435 Gleneagle Dr Ste 210, Colorado Springs, CO 80921-2542 | 2020-03-10 |
| 1396379012 | Ascend Group Pllc | Dentist | 700 W Eisenhower Blvd Ste 100&110, Loveland, CO 80537-3105 | 2020-03-03 |
| 1720619497 | Irina Sharp | Dentist | 2200 E 104th Ave Ste 112, Thornton, CO 80233-4402 | 2020-01-30 |
| 1871124651 | Jeffrey L Collins Dds PC | Dentist | 19700 E Parker Square Dr Ste C, Parker, CO 80134-7300 | 2020-01-30 |
| 1740829290 | Charles F Reed Dds Ms PC | Dentist | 20971 E Smoky Hill Rd Ste 200, Centennial, CO 80015-5187 | 2020-01-02 |
| 1790324770 | Pine Top Orthodontics PC | Dentist | 9475 Briar Village Pt Ste 315, Colorado Springs, CO 80920-7905 | 2019-12-23 |
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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.