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NPI · 1053490961 · NPPES-sourced

Dr. Dutran DO MD, DMD

ActiveOral & Maxillofacial Surgery (D.M.D.)
NPI Number
1053490961
Type 1 · Individual
Contact
(203) 200-7280
License CA · C139636
Last Updated
Enumerated
Primary practice addressCA · 90025-1015
12401 Wilshire Blvd Ste 104Los Angeles, CA 90025-1015
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About this NPIWhat this record shows.

NPI 1053490961 is registered to Dr. Dutran DO MD, DMD, a Oral & Maxillofacial Surgery (D.M.D.) practising at 12401 Wilshire Blvd Ste 104 in Los Angeles, California. Oral & Maxillofacial Surgery (D.M.D.) is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Dutran DO MD, DMD has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Dutran DO MD, DMD accepts. To confirm in-network status with your specific health plan, contact Dr. Dutran DO MD, DMD directly at (203) 200-7280.

Frequently asked

Yes. NPI 1053490961 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Oral & Maxillofacial Surgery (D.M.D.) is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (203) 200-7280.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Dutran DO MD, DMD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy204E00000X
Last updated
Enumerated
StatusActive
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