Darryl James Diefes, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4479 Issued in NC

Practice address

904 Spivey Rd
Whiteville, NC 28472-2915

Phone

(910) 642-6500

Fax

(910) 642-7581

NPI assigned

Aug 7, 2008

Last updated

Aug 7, 2008By the provider in NPPES

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Darryl James Diefes,DDS,PA

  • General Practice Dentistry
  • Whiteville, NC
  • NPI 1588763346
  Authorized official Same address or phone

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1699921874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SPIVEY RD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722915",
            "telephone_number": "910-642-6500",
            "fax_number": "910-642-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 SPIVEY RD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722915",
            "telephone_number": "910-642-6500",
            "fax_number": "910-642-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEFES",
        "first_name": "DARRYL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "4479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8992153",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guy Elise Constant De Gent, M.D.
• Roxana De la Luz Arieta, PA-C
• Matthew Steven Decesare, PHARMD
• Elizabeth Delouise, DO
• Patricia Louise Deskin, FNP
• Robin Zaki Dimitrious, M.D.
• James Dimuzio Jr., DO
• Divine Living Home Care Agency
• Divine Living Home Care Agency,Inc.
• Burt William Dobson, MD

• Dentist in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.