Active NPI
Brian Darling
- Pediatric Dentistry
- Ottumwa, IA
National Provider Identifier
1649639295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 09962
- Practice address
- 301 W 2ND St Ste 4
Ottumwa, IA 52501-2506 - Phone
- (641) 575-0611
- Fax
- (641) 575-0622
- NPI assigned
- Feb 10, 2016
- Last updated
- Mar 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 09962 | IA | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2018015588 | MO |
Addresses
Primary practice location
301 W 2ND St Ste 4
Ottumwa, IA 52501-2506
Mailing address
301 W 2ND St Ste 4
Ottumwa, IA 52501-2506
Phone (641) 575-0611
Other practice location 1
849 Jeffco Blvd
Arnold, MO 63010
Phone (636) 287-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400055093 | Medicaid | MO |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09962 | IA | MD | Pediatric Dentist |
| 2018015588 | MO | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darling Children's Dentistry | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients |
Locations
301 W 2nd St
Ste 4
Ottumwa, IA 52501
Phone (641) 575-0611
Interoperability endpoints
- bdarling254747@uihcdirect.org
- bdarling911135@direct.unitypoint.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Ottumwa, IA
- NPI 1083362800
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648339200000",
"number": "1649639295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W 2ND ST STE 4",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012506",
"telephone_number": "641-575-0611",
"fax_number": "641-575-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W 2ND ST STE 4",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012506",
"telephone_number": "641-575-0611",
"fax_number": "641-575-0622"
}
],
"practiceLocations": [
{
"address_1": "849 Jeffco Blvd",
"address_purpose": "LOCATION",
"city": "Arnold",
"state": "MO",
"postal_code": "63010",
"country_code": "US",
"telephone_number": "636-287-0440",
"fax_number": "636-333-1827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARLING",
"first_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-10",
"last_updated": "2022-03-27",
"certification_date": "2022-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IA",
"license": "09962",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MO",
"license": "2018015588",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400055093",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.