Active NPI
William Darin Sidwell
- Health Educator
- Dittmer, MO
National Provider Identifier
1720984412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 22275280
- Practice address
- 354 Scenic View Dr
Dittmer, MO 63023-2007 - Phone
- (314) 956-1997
- NPI assigned
- Oct 19, 2026
- Last updated
- Oct 19, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 22275280 | MO | Primary |
Addresses
Primary practice location
354 Scenic View Dr
Dittmer, MO 63023-2007
Mailing address
354 Scenic View Dr
Dittmer, MO 63023-2007
Phone (314) 956-1997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22275280 | Other | MO | HEALTH INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1720984412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 SCENIC VIEW DR",
"city": "DITTMER",
"state": "MO",
"postal_code": "630232007",
"telephone_number": "314-956-1997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 SCENIC VIEW DR",
"city": "DITTMER",
"state": "MO",
"postal_code": "630232007",
"telephone_number": "314-956-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDWELL",
"first_name": "WILLIAM",
"middle_name": "DARIN",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-10-19",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "MO",
"license": "22275280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH INSURANCE",
"identifier": "22275280",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dittmer, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.