Dr. Darryl Eugene Calmese Sr.

Key facts

NPI

1861023780

Entity type

Individual (NPI type 1)

Primary specialty

Pastoral Counselor 101YP1600X

Practice address

5323 Branridge Rd
Black Jack, MO 63033-7303

Phone

(314) 706-5373

NPI assigned

Jan 29, 2020

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 29, 2020.

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1861023780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 LARIAT DR",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630423039",
            "telephone_number": "314-706-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 BRANRIDGE RD",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630337303",
            "telephone_number": "314-706-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALMESE",
        "first_name": "DR. DARRYL",
        "middle_name": "EUGENE",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Black Jack, MO · Pastoral Counselor in Missouri