Individual provider Active NPI

Darshay Patterson

  • Home Modifications Contractor
  • Detroit, MI
National Provider Identifier
1851761746
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
P 362 135 785 273 Issued in MI
Practice address
1101 W Warren Ave Apt 417
Detroit, MI 48201-3616
Phone
(313) 721-2189
NPI assigned
Oct 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X P 362 135 785 273 MI Primary

Addresses

Primary practice location

1101 W Warren Ave Apt 417
Detroit, MI 48201-3616

Mailing address

4100 W Warren Ave Apt 401
Detroit, MI 48210-1474
Phone (313) 434-1317

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

LicenseStateTypeSpecialty
P 362 135 785 273MIMDHome Modifications Contractor

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1851761746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W WARREN AVE APT 401",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482101474",
            "telephone_number": "313-434-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W WARREN AVE APT 417",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482013616",
            "telephone_number": "313-721-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "DARSHAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "MI",
            "license": "P 362 135 785 273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.