NPIMap

Organization Active NPI

Darryl D. Daniel, DMD, PC

  • General Practice Dentistry
  • Brunswick, GA
National Provider Identifier
1619207420
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN010949 Issued in GA
Legal business name
DARRYL D. DANIEL, DMD, PC
Practice address
11 Professional Dr
Brunswick, GA 31520-3773
Phone
(912) 261-2999
Fax
(912) 261-8368
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Jan M. Nichols
Title
Office Manager
Phone
(912) 261-2999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN010949 GA Primary

Addresses

Primary practice location

11 Professional Dr
Brunswick, GA 31520-3773

Mailing address

11 Professional Dr
Brunswick, GA 31520-3773
Phone (912) 261-2999

National Provider Directory

National Provider Directory

Locations

11 Professional Dr
Brunswick, GA 31520
Phone (912) 261-2999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1619207420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PROFESSIONAL DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203773",
            "telephone_number": "912-261-2999",
            "fax_number": "912-261-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PROFESSIONAL DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203773",
            "telephone_number": "912-261-2999",
            "fax_number": "912-261-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL D. DANIEL, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-261-2999"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.