{
"Npi": {
"NPI": "1770378119",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JARRETT DARRAH, D.D.S., PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "304 BAHIA LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CAPE CARTERET",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28584-9285",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-316-4460",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "171 OLD NC-58",
"SecondLinePracticeLocationAddress": "SUITE 2",
"PracticeLocationAddressCityName": "CEDAR POINT",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28584",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-316-4460",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/14/2025",
"LastUpdateDate": "04/30/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DARRAH",
"AuthorizedOfficialFirstName": "JARRETT",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "770-316-4460",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}