Daryl Erwin Doorenbos, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18357 Issued in IA

Practice address

194 6TH Ave NE
Le Mars, IA 51031-3716

Phone

(712) 546-3640

Fax

(712) 546-3644

NPI assigned

Sep 30, 2005

Last updated

Sep 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: daryl.doorenbos2@avera.sdhealthlink.net

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1821085200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 7TH AVE SE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510312869",
            "telephone_number": "712-546-3640",
            "fax_number": "712-546-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 6TH AVE NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313716",
            "telephone_number": "712-546-3640",
            "fax_number": "712-546-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOORENBOS",
        "first_name": "DARYL",
        "middle_name": "ERWIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "18357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler James Dejong, T-LMHC
• Tracy May Delao, T-CADC
• Lindsey Denouden, RN
• Rebecca Ann Deruyter, O.D.
• Kelley Dickey Cuddy, LMHC
• Hannah Marie Dreckman
• Kayley Diane Dresback, OTR/L, MOT
• Adam David Erdmann, D.D.S.
• Family Fharmacy Inc. (Le Mars Family Pharmacy)
• Family First Dental Associates of Primghar, P.C. (Family 1st Dental of LeMars)

• Family Medicine Physician in Le Mars, IA
• Providers in Le Mars, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.