Darryl B Tkachyk, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49814 Issued in CA

Practice address

4434 University Pkwy
Suite G
San Bernardino, CA 92407-4681

Phone

(909) 887-1533

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Godoy DDS Inc

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1770470379
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437366242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25257 HURON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543600",
            "telephone_number": "909-709-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 UNIVERSITY PKWY",
            "address_2": "SUITE G",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924074681",
            "telephone_number": "909-887-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKACHYK",
        "first_name": "DARRYL",
        "middle_name": "B",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Time for Comfort Nursing, Inc.
• Daniel Timmons, B.A., PSCII
• Joselyn Tirado
• David D. Tito, M.D.
• Samantha Tito
• Amy Rose To, O.D.
• Timothy Scott Tobias, D.D.S.
• Claire Ashley Todd, PPS
• Sharon Renee Toffolla
• Tofiyes, Inc.

• General Practice Dentistry in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.