Individual provider Active NPI

Darin J Ward, DDS, MSD, FAGD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Houghton, MI
National Provider Identifier
1285735647
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2901023178 Issued in MI
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

Updated by the provider on May 12, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161025001785 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5092093138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19416TXMDMental Health Counselor
7564TXMDDentist
2901023178MIMDOrthodontics and Dentofacial Orthopedic Dentist
7564ORMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.