Individual provider Active NPI

Daryl Duncan, DDS

  • Dentist
  • Redford, MI
National Provider Identifier
1346395001
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10959 Issued in MI
Practice address
25225 W 7 Mile Rd
Redford, MI 48240-1462
Phone
(313) 541-3004
Fax
(313) 541-3038
NPI assigned
Jan 24, 2007
Last updated
Aug 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10959 MI Primary

Addresses

Primary practice location

25225 W 7 Mile Rd
Redford, MI 48240-1462

Mailing address

25225 W 7 Mile Rd
# 100
Redford, MI 48240-1462
Phone (313) 541-3004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160816000149 MI Order and Referring Only - DentistPractitioner - Dentist 4082612577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10959MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Inc II, PC Dentist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1346395001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25225 W 7 MILE RD",
            "address_2": "# 100",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401462",
            "telephone_number": "313-541-3004",
            "fax_number": "313-541-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25225 W 7 MILE RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401462",
            "telephone_number": "313-541-3004",
            "fax_number": "313-541-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "DARYL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "10959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

Verify at the official NPI Registry.