Active NPI
Damon Charles Darling
- Peer Specialist
- Urbana, OH
National Provider Identifier
1033799879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- SQ211961
- Practice address
- 348 Poe Ave
Urbana, OH 43078-1042 - Phone
- (619) 376-8566
- NPI assigned
- Apr 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | SQ211961 | OH | Primary |
Addresses
Primary practice location
348 Poe Ave
Urbana, OH 43078-1042
Mailing address
348 Poe Ave
Urbana, OH 43078-1042
Phone (619) 376-8566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SQ211961 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1033799879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 POE AVE",
"city": "URBANA",
"state": "OH",
"postal_code": "430781042",
"telephone_number": "619-376-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 POE AVE",
"city": "URBANA",
"state": "OH",
"postal_code": "430781042",
"telephone_number": "619-376-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARLING",
"first_name": "DAMON",
"middle_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-14",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "SQ211961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.