Darra J Hyde, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11194 Issued in KY

Practice address

1120 High St
Brandenburg, KY 40108-1514

Phone

(270) 422-4923

NPI assigned

Jul 1, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Darra J Johnson Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hyde Family Dentistry PLC

  • Dental Clinic/Center
  • Brandenburg, KY
  • NPI 1972326320
  NPD Authorized official

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1366287302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SHELBI DR",
            "city": "GUSTON",
            "state": "KY",
            "postal_code": "401427052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HIGH ST",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081514",
            "telephone_number": "270-422-4923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 High St",
            "address_purpose": "LOCATION",
            "city": "Brandenburg",
            "state": "KY",
            "postal_code": "401081514",
            "country_code": "US",
            "telephone_number": "270-422-4921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYDE",
        "first_name": "DARRA",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "11194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARRA",
            "last_name": "JOHNSON",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lora Haynes, APRN
• Highland Medical PLLC
• Bryan M Honaker, M.D.
• Nicholas Martin Hudson, PHARMD
• Hyde Family Dentistry PLC
• John B Inman, DMD
• Erin Percefull Jarvis, SLP
• Jewish Hospital & St Mary's Healthcare Inc (KentuckyOne Primary Care)
• Jewish Hospital & St. Mary's Healthcare, Inc. (Frazier Rehab Institute Meade County)
• Jennifer Irene Schinke Kendrick, LISW

• Dentist in Brandenburg, KY
• Providers in Brandenburg, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.

Verify at the official NPI Registry.