Individual provider Active NPI

Darrell J Zehr, D.M.D.

  • Dentist
  • De Kalb, MS
National Provider Identifier
1386729580
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3318-07 Issued in MS
Practice address
201 Birch Street
Dekalb, MS 39328
Phone
(601) 693-0118
Fax
(601) 553-8175
NPI assigned
Oct 26, 2006
Last updated
Feb 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5348 OK
Dentist 122300000X 3318-07 MS Primary

Addresses

Primary practice location

201 Birch Street
Dekalb, MS 39328

Mailing address

2710 Davis Street
Meridian, MS 39301-5708
Phone (601) 693-0118

Other identifiers 1

IdentifierTypeStateIssuer
00660271MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20151217000015 MS Order and Referring Only - DentistPractitioner - Dentist 5991006918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3318-07MSMDDentist
5348OKMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1386729580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 DAVIS STREET",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015708",
            "telephone_number": "601-693-0118",
            "fax_number": "601-553-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BIRCH STREET",
            "city": "DEKALB",
            "state": "MS",
            "postal_code": "39328",
            "telephone_number": "601-693-0118",
            "fax_number": "601-553-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEHR",
        "first_name": "DARRELL",
        "middle_name": "J",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5348",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3318-07",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660271",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Kalb, MS

Sources for this page

Verify at the official NPI Registry.