Darrel Waite Mitchell, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6665 Issued in OR

Practice address

2331 Fargo St
Klamath Falls, OR 97603-6758

Phone

(541) 884-6477

Fax

(541) 884-6499

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649352634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 FARGO ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976036758",
            "telephone_number": "541-884-6477",
            "fax_number": "541-884-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 FARGO ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976036758",
            "telephone_number": "541-884-6477",
            "fax_number": "541-884-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DARREL",
        "middle_name": "WAITE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "082011",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Raine Mimani
• Misty Miner, CMA
• Ilena Marie Miranda-Guillen
• Raul A Mirande, MD
• Sherri Misiasz
• Deanna Kay Mitchell
• Kayla L Mitchell
• Kristen Ingrid Mitchell, OTR/L
• Rachel Elizabeth Mitchell
• Victoria Mitchell, FNP

• General Practice Dentistry in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• General Practice Dentistry in Oregon

• 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.