Active NPI
Darlla Denise Duniphin, PA-C
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1467409235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1257
- Practice address
- 1919 E Memorial Rd
Oklahoma City, OK 73131-1253 - Phone
- (405) 749-7099
- Fax
- (405) 341-3795
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1257 | OK | Primary |
Addresses
Primary practice location
1919 E Memorial Rd
Oklahoma City, OK 73131-1253
Mailing address
1919 E Memorial Rd
Oklahoma City, OK 73131-1253
Phone (405) 749-7099
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1257 | OK | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saints Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Shawnee, OK
- NPI 1881648285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1467409235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 E MEMORIAL RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731311253",
"telephone_number": "405-749-7099",
"fax_number": "405-341-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E MEMORIAL RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731311253",
"telephone_number": "405-749-7099",
"fax_number": "405-341-3795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNIPHIN",
"first_name": "DARLLA",
"middle_name": "DENISE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.