Eric Reid Darnell

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2024048189 Issued in MO

Practice address

511 Elsie St
Van Buren, MO 63965-7800

Phone

(573) 323-4287

NPI assigned

Jun 10, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Pryor Family Dental, LLC

  • General Practice Dentistry
  • Van Buren, MO
  • NPI 1396196234
  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1144950445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SHARONDALE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124250",
            "telephone_number": "915-491-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ELSIE ST",
            "city": "VAN BUREN",
            "state": "MO",
            "postal_code": "639657800",
            "telephone_number": "573-323-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARNELL",
        "first_name": "ERIC",
        "middle_name": "REID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011380",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2024048189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carter County Health Center
• Carter County Health Center
• Carter County Health Center
• Theresa Lee Clanton
• Current River Manor R.C.F. and D.M.H. Group Home
• McKenzie Marie Dazey
• Kristal Lynn Derryberry
• Terry Lynn Deshaney-Bennett
• Eagle Care Solutions, PC
• Aliesha Lee Faulkner

• General Practice Dentistry in Van Buren, MO
• Providers in Van Buren, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.