Active NPI
Darnell Clay
- Home Modifications Contractor
- Kalamazoo, MI
National Provider Identifier
1750079257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 262000458
- Practice address
- 1214 W Paterson St
Kalamazoo, MI 49007-1797 - Phone
- (269) 779-8703
- NPI assigned
- Apr 24, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 262000458 | MI | Primary |
Addresses
Primary practice location
1214 W Paterson St
Kalamazoo, MI 49007-1797
Mailing address
1214 W Paterson St
Kalamazoo, MI 49007-1797
Phone (269) 779-8703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262000458 | MI | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1750079257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 W PATERSON ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490071797",
"telephone_number": "269-779-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 W PATERSON ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490071797",
"telephone_number": "269-779-8703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "DARNELL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-24",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "MI",
"license": "262000458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.