Stillwater Endodontics Darrell W. Daugherty, DDS,PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

STILLWATER ENDODONTICS DARRELL W. DAUGHERTY, DDS,PC

Practice address

1601 S Sangre Rd
Stillwater, OK 74074-1847

Phone

(405) 377-4848

Fax

(405) 377-4859

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Darrell W Daugherty, DDSNPI 1336155449

Title

Owner

Phone

(405) 377-4848

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darrell Daugherty, DDS

  • Endodontics
  • Stillwater, OK
  • NPI 1336155449
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073646311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S SANGRE RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740741847",
            "telephone_number": "405-377-4848",
            "fax_number": "405-377-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S SANGRE RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740741847",
            "telephone_number": "405-377-4848",
            "fax_number": "405-377-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER ENDODONTICS DARRELL W. DAUGHERTY, DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-377-4848",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stillwater Group Homes, Inc.
• Stillwater Hearing Clinic, Inc.

• Endodontics in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Endodontics in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.