DR. DOMINIQUE LEVON DURHAM DMD
NPI 1053972257
Dentist - General Practice in Tallahassee, FL

Active since June 27, 2019PECOS Enrolled
2613 S MONROE ST, TALLAHASSEE, FL 32301(036) 685-0759 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2023, Jan 18, 2022, Jul 12, 2019 (3 updates tracked since 2019).

About Dr. Dominique Levon Durham Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOMINIQUE LEVON DURHAM DMD (NPI 1053972257) is an individual general practice provider in Tallahassee, Florida, licensed in Florida (DN24185) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053972257
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DOMINIQUE LEVON DURHAMCredential: DMD
Location Address2613 S MONROE STTallahassee, FL 32301-6308
Mailing Address2613 S Monroe StTallahassee, FL 32301-6308 · (850) 759-0366
Sole ProprietorNo
Enumeration DateJune 27, 2019
Last NPPES UpdateSeptember 26, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
NPI 1053972257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN24185
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License DN24185 (FL)
2613 S MONROE ST, Tallahassee, FL 32301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Dominique Levon Durham Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
2613 S MONROE ST
TALLAHASSEE, FL 32301
Pharmacy
2613 S MONROE ST
TALLAHASSEE, FL 32301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Durham's NPI number?

The NPI number for Dominique Durham is 1053972257. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Dominique Durham located?

Dominique Durham practices at 2613 S Monroe St, Tallahassee, FL 32301. The listed phone number is (036) 685-0759.

What is Dominique Durham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Dominique Durham enrolled in Medicare?

Yes. Dominique Durham is registered in the Medicare PECOS enrollment system.

What insurance does Dominique Durham accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Dominion National and Guardian and 3 other insurers list Dominique Durham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dominique Durham was last updated on September 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.