Peter Madrid Darty, D.M.D,PHARM.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010769 Issued in GA

Practice address

2015 Habersham Gate Dr
Cumming, GA 30041-8076

Phone

(770) 887-3602

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1184769408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 HABERSHAM GATE DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418076",
            "telephone_number": "770-887-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 HABERSHAM GATE DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418076",
            "telephone_number": "770-887-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARTY",
        "first_name": "PETER",
        "middle_name": "MADRID",
        "name_prefix": "Dr.",
        "credential": "D.M.D,PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010769",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH014665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dansbury, PHARMD
• Daniel Andrew Danyo, M.D.
• Jaykrishna Darji, M.D.
• Fahed Darmoch
• Keely Darnell, WHNP
• Girija Sankar Das, MD
• Allison Nicole Dauberger, NP
• Angela Michelle Daugherty Fogel, DC
• Daulton E Todd Jr MD PC
• Shelly Marie Davidovich, OTR/L, CPAM

• General Practice Dentistry in Cumming, GA
• Providers in Cumming, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.