Daryl F Catherwood

Primary specialty

DentistTaxonomy code 122300000X

License

38012 Issued in CA

Practice address

1001 B Ave
Ste.105
Coronado, CA 92118-3421

Phone

(619) 437-8722

Fax

(619) 437-4167

NPI assigned

Nov 15, 2007

Last updated

Nov 15, 2007By 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

Medicare fee-for-service enrollment

Enrolled in CA

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

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1801077029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 B AVE",
            "address_2": "STE.105",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183421",
            "telephone_number": "619-437-8722",
            "fax_number": "619-437-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 B AVE",
            "address_2": "STE.105",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183421",
            "telephone_number": "619-437-8722",
            "fax_number": "619-437-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATHERWOOD",
        "first_name": "DARYL",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonina Carini, PHARMD, BCPS
• Colleen Mary Carley, MOTR/L
• Justin Carl Carpenter, IDC
• Gina L. Casian, M.D.
• Denise Casinelli, LMFT
• Cep America - Neurology PC
• Jay Michael Channick, M.D.
• Charlene V. Kakimoto, MD, Inc
• Charlene V. Kakimoto, MD, Inc
• Charlotte a. Lee, M.D., P.a.

• Dentist in Coronado, CA
• Providers in Coronado, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.