Darwin Lee Darr, DC
Individual provider Active NPI Chiropractor · Jacksonville, TX
NPI 1891990818 · NPPES record last updated Jan 12, 2017
Key facts
- NPI
- 1891990818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5315 (TX)
- Practice address
- 410 E Commerce St
Jacksonville, TX 75766-4908 - Phone
- (903) 586-3667
- Fax
- (903) 586-6404
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
410 E Commerce St
Jacksonville, TX 75766-4908
Phone (903) 586-3667
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080312000692 | TX | Practitioner - Chiropractic | 0547345662 |
Reassigns benefits to 1 organization Practice locations: Jacksonville, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5315 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darr Chiropractic PA | Chiropractor | Current |
Accepting new patients |
Locations
410 E Commerce St
Jacksonville, TX 75766
Phone (903) 509-3374
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5315 | TX | Yes |
Addresses
Primary practice location
410 E Commerce St
Jacksonville, TX 75766-4908
Mailing address
410 E Commerce St
Jacksonville, TX 75766-4908
Phone (903) 586-3667
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088411601 | Medicaid | TX |
Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.