Individual provider Active NPI

Darrin Ray Combs, DMD

  • Periodontics
  • Zionsville, IN
National Provider Identifier
1376687509
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12011411A Issued in IN
Practice address
260 S Ford Rd
Zionsville, IN 46077-1864
Phone
(317) 873-6999
NPI assigned
Feb 19, 2007
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7881 KY
Periodontics 1223P0300X 12011411A IN Primary

Addresses

Primary practice location

260 S Ford Rd
Zionsville, IN 46077-1864

Mailing address

260 S Ford Rd
Zionsville, IN 46077-1864
Phone (317) 873-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7881KYMDGeneral Practice Dentistry
12011411AINMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Darrin R Combs DMD LLC CurrentSince Feb 8, 2023 Accepting new patients
Harrison Dental, LLC General Practice Past Accepting new patients

Locations

260 S Ford Rd
Zionsville, IN 46077
Phone (317) 873-6999

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1376687509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S FORD RD",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771864",
            "telephone_number": "317-873-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S FORD RD",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771864",
            "telephone_number": "317-873-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "DARRIN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7881",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IN",
            "license": "12011411A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.