Daralynn Deardorff, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

K7715 Issued in TX

Practice address

2825 Stadium Dr
Fort Worth, TX 76109-1377

Phone

(817) 257-7864

Fax

(817) 257-7320

NPI assigned

Apr 5, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1528020351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298730",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761290001",
            "telephone_number": "817-257-7864",
            "fax_number": "817-257-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 STADIUM DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091377",
            "telephone_number": "817-257-7864",
            "fax_number": "817-257-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARDORFF",
        "first_name": "DARALYNN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K7715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150535602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8X7761",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Deanda
• Laura Deane, MS, RD, LD
• Armina Deang
• Chase Larue Dear, LBA, BCBA
• Craig L Dearden, MD
• Taylor Dockery Dearinger
• Thomas M. Deas, M.D.
• Kristina J. Deason, MD
• Lauren Cathrine Deason, AGACNP-BC
• Kendra L. Deberry, O.D.

• Psychiatry Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.