Katrina J Darcey, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7570 Issued in OK

Practice address

610 E 24TH St
Tishomingo, OK 73460-3245

Phone

(580) 371-2343

Fax

(580) 218-8963

NPI assigned

May 31, 2022

Sex

Female

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

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGHIAA

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.

• Fairfax Medical Facilities Inc

  • Federally Qualified Health Center (FQHC)
  • Fairfax, OK
  • NPI 1538183173
  Medicare reassignment NPD
• Fairfax Medical Facilities, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponca City, OK
  • NPI 1316747017
  NPD
• Fairfax Medical Facilities Inc

  • Federally Qualified Health Center (FQHC)
  • Hominy, OK
  • NPI 1609040864
  NPD (past)
• Fairfax Medical Facilities Inc

  • Federally Qualified Health Center (FQHC)
  • Newkirk, OK
  • NPI 1851535785
  NPD (past)

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1518606599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603245",
            "telephone_number": "580-371-2343",
            "fax_number": "580-218-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603245",
            "telephone_number": "580-371-2343",
            "fax_number": "580-218-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARCEY",
        "first_name": "KATRINA",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa June Coulter
• Counseling, Inc.
• Kimberly Cripps, RN
• Ladonna Culp, APRN
• Tasha Cummins, APRN-CNP
• Jana Darnall, M.ED.
• Wilson L Davis, MD
• Pamela Diane Dellinger
• Dennis Ventures Inc
• Dennis Ventures Inc

• General Practice Dentistry in Tishomingo, OK
• Providers in Tishomingo, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.