Active NPI
Joel W Darrah, DDS
- General Practice Dentistry
- Willard, NC
National Provider Identifier
1124272158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4518
- Practice address
- 5531 Eleanor Roosevelt LN
Commwell Health of Penderlea
Willard, NC 28478-6621 - Phone
- (910) 285-0400
- NPI assigned
- Nov 4, 2008
- Last updated
- Feb 13, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4518 | SC | Primary |
Addresses
Primary practice location
5531 Eleanor Roosevelt LN
Commwell Health of Penderlea
Willard, NC 28478-6621
Mailing address
6222 Meredith Way
Wilmington, NC 28405-7712
Phone (614) 394-4233
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 |
|---|---|---|---|
| 4518 | SC | MD | Speech-Language Pathologist |
Organizations & group practices 1
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": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329091200000",
"number": "1124272158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6222 MEREDITH WAY",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284057712",
"telephone_number": "614-394-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5531 ELEANOR ROOSEVELT LN",
"address_2": "COMMWELL HEALTH OF PENDERLEA",
"city": "WILLARD",
"state": "NC",
"postal_code": "284786621",
"telephone_number": "910-285-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARRAH",
"first_name": "JOEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-04",
"last_updated": "2012-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.