Individual provider Active NPI

Darrell Todd Hartsfield, DDS

  • General Practice Dentistry
  • Surprise, AZ
National Provider Identifier
1164423497
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6018 Issued in AZ
Practice address
15350 W Skyview Way
Surprise, AZ 85374-4774
Phone
(602) 307-1576
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6018 AZ Primary

Addresses

Primary practice location

15350 W Skyview Way
Surprise, AZ 85374-4774

Mailing address

15350 W Skyview Way
Surprise, AZ 85374-4774
Phone (602) 307-1576

Other identifiers 1

IdentifierTypeStateIssuer
857469MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6018AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Community Health Systems CurrentSince Oct 20, 2024 Accepting new patients
Southeast Community Health Systems Current Accepting new patients
Southeast Community Health Systems CurrentSince Oct 20, 2024 Accepting new patients
Southeast Community Health Systems Current Accepting new patients

Locations

6351 Main St
Zachary, LA 70791
Phone (225) 306-2055

Interoperability endpoints

  • Direct secure messaging: darrell.hartsfield@shchc.directbygreenway.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164423497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15350 W SKYVIEW WAY",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744774",
            "telephone_number": "602-307-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 W SKYVIEW WAY",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744774",
            "telephone_number": "602-307-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSFIELD",
        "first_name": "DARRELL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "857469",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.