Organization Active NPI

Shaun Darrah Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Yonkers, NY
National Provider Identifier
1740979319
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SHAUN DARRAH PEDIATRIC DENTISTRY PLLC
Practice address
1133 Warburton Ave
Apt. 604 N.
Yonkers, NY 10701
Phone
(631) 398-9376
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Shaun Frederick Darrah, D.D.S.NPI 1548793201
Title
Pediatric Dentist-Owner
Phone
(631) 398-9376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1133 Warburton Ave
Apt. 604 N.
Yonkers, NY 10701

Mailing address

1133 Warburton Ave
Apt. 604 N.
Yonkers, NY 10701
Phone (631) 398-9376

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1740979319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 WARBURTON AVE",
            "address_2": "APT. 604 N.",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "631-398-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 WARBURTON AVE",
            "address_2": "APT. 604 N.",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "631-398-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUN DARRAH PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "DARRAH",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST-OWNER",
        "authorized_official_telephone_number": "631-398-9376",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.