Individual provider Active NPI

Michael L Darby, CP

  • Prosthetist
  • Columbia, MO
National Provider Identifier
1083027205
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
3407 Berrywood Dr Ste 203
Columbia, MO 65201-6500
Phone
(573) 777-4701
Fax
(573) 777-4702
NPI assigned
Jun 5, 2014
Last updated
Aug 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X NU
Prosthetist 224P00000X NU Primary

Addresses

Primary practice location

3407 Berrywood Dr Ste 203
Columbia, MO 65201-6500

Mailing address

3407 Berrywood Dr Ste 203
Columbia, MO 65201-6500
Phone (573) 777-4701

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

Practice roles

OrganizationSpecialtyStatusNew patients
Darby Orthotics and Prosthetics, LLC Prosthetist Current Accepting new patients
Catalyst Orthotic and Prosthetic Clinic PastSince Sep 17, 2023 Accepting new patients

Locations

3407 Berrywood Dr
Ste 203
Columbia, MO 65201
Phone (573) 777-4701

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1083027205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 BERRYWOOD DR STE 203",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016500",
            "telephone_number": "573-777-4701",
            "fax_number": "573-777-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 BERRYWOOD DR STE 203",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016500",
            "telephone_number": "573-777-4701",
            "fax_number": "573-777-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARBY",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.