Dean A. Darr, D.C.
Individual provider Active NPI Chiropractor · Lindale, TX
NPI 1366484008 · NPPES record last updated Nov 15, 2012
Key facts
- NPI
- 1366484008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3092 (TX)
- Practice address
- 105 E. Hubbard St.
Lindale, TX 75771 - Phone
- (903) 881-2225
- Fax
- (903) 881-9591
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
207 S Henry St
Lindale, TX 75771-3298
Phone (903) 881-2225
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061013000387 | TX | Practitioner - Chiropractic | 3072519024 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3092 | TX | MD | Other Technician |
| 1420 | LA | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DJD Management PC | Chiropractor | Current |
Accepting new patients |
| DJD Management PC | Chiropractor | Past | Accepting new patients |
Locations
649 S Broadway Ave
Ste 1
Tyler, TX 75701
Phone (903) 526-2225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3092 | TX | Yes |
| Other Technician | 247200000X | 3092 | TX |
Addresses
Primary practice location
105 E. Hubbard St.
Lindale, TX 75771
Mailing address
PO Box 385
Lindale, TX 75771-0385
Phone (903) 881-2225
Other providers in Lindale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.