Darrell Deem DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

12008380 Issued in IN

Legal business name

DARRELL DEEM DDS, INC

Practice address

100 W Van Trees St
Washington, IN 47501-1564

Phone

(812) 254-7550

Fax

(812) 254-5750

NPI assigned

Mar 25, 2015

Last updated

Mar 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

L. Rene Bean

Title

Office Administration

Phone

(812) 254-5011

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cyrus Austin Deem, DDS

  • Dentist
  • Washington, IN
  • NPI 1457846958
  NPD (past)

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1669866992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W VAN TREES ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475011564",
            "telephone_number": "812-254-7550",
            "fax_number": "812-254-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W VAN TREES ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475011564",
            "telephone_number": "812-254-7550",
            "fax_number": "812-254-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRELL DEEM DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "L.",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATION",
        "authorized_official_telephone_number": "812-254-5011"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12008380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Washington, IN
• Providers in Washington, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.