Active NPI
Darin J Ward, DDS, MSD, FAGD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Houghton, MI
National Provider Identifier
1285735647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2901023178
- Practice address
- 903 Razorback Dr Ste 290
Houghton, MI 49931-2825 - Phone
- (906) 483-0200
- Fax
- (906) 483-0209
- NPI assigned
- Sep 26, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7564 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 19416 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 7564 | OR | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901023178 | MI | Primary |
Addresses
Primary practice location
903 Razorback Dr Ste 290
Houghton, MI 49931-2825
Mailing address
903 Razorback Dr Ste 10
Houghton, MI 49931-2824
Phone (906) 483-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161025001785 | TX | Order and Referring Only - Other (Physician) | 5092093138 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19416 | TX | MD | Mental Health Counselor |
| 7564 | TX | MD | Dentist |
| 2901023178 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 7564 | OR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Centered Dentistry | Dentist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dentist
- Eugene, OR
- NPI 1982619342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1285735647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 RAZORBACK DR STE 10",
"city": "HOUGHTON",
"state": "MI",
"postal_code": "499312824",
"telephone_number": "906-483-0200",
"fax_number": "906-483-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 RAZORBACK DR STE 290",
"city": "HOUGHTON",
"state": "MI",
"postal_code": "499312825",
"telephone_number": "906-483-0200",
"fax_number": "906-483-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "DARIN",
"middle_name": "J",
"credential": "DDS, MSD, FAGD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "7564",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "19416",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OR",
"license": "7564",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "2901023178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houghton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.