Active NPI
Shaun Darrah Pediatric Dentistry PLLC
- Pediatric Dentistry
- Yonkers, NY
National Provider Identifier
1740979319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Mahopac, NY
- NPI 1548793201
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.