Individual provider Active NPI

Callie Francine Darrow, DDS

  • Dentist
  • Ladysmith, WI
National Provider Identifier
1871107151
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1002432-15 Issued in WI
Practice address
720 Garfield Ave
Ladysmith, WI 54848-1271
Phone
(715) 532-7054
Fax
(715) 428-2431
NPI assigned
Sep 3, 2020
Last updated
May 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.032892 IL
Dentist 122300000X 1002432-15 WI Primary

Addresses

Primary practice location

720 Garfield Ave
Ladysmith, WI 54848-1271

Mailing address

720 Garfield Ave
Ladysmith, WI 54848-1271
Phone (715) 532-7054

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.032892ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1871107151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 GARFIELD AVE",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548481271",
            "telephone_number": "715-532-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 GARFIELD AVE",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548481271",
            "telephone_number": "715-532-7054",
            "fax_number": "715-428-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARROW",
        "first_name": "CALLIE",
        "middle_name": "FRANCINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032892",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002432-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladysmith, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.