DR. DARRIN GOURLAY (NPI# 1316028046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316028046 |
| Entity Type | Individual |
| Full Name | DR. DARRIN GOURLAY |
| Credential | D.D.S. |
| Practice Address |
104 Grant St Niles MI 49120-2201 |
| Practice Telephone | 2696831077 |
| Mailing Telephone | 2696831077 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901016366 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4498481 | 05 |
| Street Address |
104 GRANT ST |
| City | NILES |
| State | MI |
| Zip Code | 49120-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144389396 | Ellen Renee Wyant | Dentist | 104 Grant St, Niles, MI 49120-2201 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
| 1306316971 | Vicki L Yarbro | Physical Therapist | 6 Longmeadow Village Dr. Suite 3, Niles, MI 49120 | 2018-11-27 |
| 1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
| 1740601186 | Terrianne Klaeren | Occupational Therapist | 1009 Almaugus Drive, Niles, MI 49120 | 2014-01-03 |
| 1124469366 | All Needs Senior Services, Inc. | Home Health | 1723 Pucker Street Dr, Suite A, Niles, MI 49120 | 2013-07-16 |
| 1902105034 | Nile Family Pharmacy LLC | Pharmacy | 70 E. State St., Niles, MI 49120 | 2011-03-15 |
| 1629240734 | Karen L Palmer | Counselor | 115 S St Joseph Ave, Niles, MI 49120 | 2008-03-28 |
| 1124218391 | Melissa A Longley | Social Worker | 333 N. Second Street, Suite 303, Niles, MI 49120 | 2007-07-25 |
| 1841410727 | Periza Zaninovic | Dentist | 123 Marmont Street, Niles, MI 49120 | 2007-04-26 |
| 1477629087 | Stephen Williams Tankersley | Dentist | 226 S Lincoln Ave, Niles, MI 49120 | 2006-11-27 |
| Find all providers in zip 49120 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871254 | Madison Rae Mick | Dentist | 24 N Saint Joseph Ave Ste G, Niles, MI 49120-2263 | 2019-06-27 |
| 1770946378 | Malgorzata Pienkowska | Dentist | 8107 N. Milwaukee, Niles, IL 60714-2803 | 2016-03-31 |
| 1053729467 | Mary Grace Kim | Dentist | 8321 W Golf Rd, Niles, IL 60714-1113 | 2014-07-29 |
| 1093089690 | Nwdg Niles LLC | Dentist | 7886 N Milwaukee Ave, Niles, IL 60714-3145 | 2012-02-28 |
| 1649589151 | Kala Sagar Madugula Dmd Inc | Dentist | 5700 Youngstown Warren Rd, Unit 107, Niles, OH 44446-4762 | 2010-09-30 |
| 1366690067 | Mia Myoungah Seo | Dentist | 876 Civic Center Dr, Niles, IL 60714-3207 | 2008-09-05 |
| 1275796591 | Ronald Patrick Giometti | Dentist | 6954 W Touhy Ave, Suite 201, Niles, IL 60714-4547 | 2008-07-07 |
| 1972777399 | Hyeokjin Son | Dentist | 1111 Lambert St, Niles, MI 49120-3439 | 2008-04-16 |
| 1659560464 | Dr John D Mcmahon Ltd | Dentist | 8100 Oakton St, Niles, IL 60714 | 2007-10-17 |
| 1033315023 | Tejas N Joshi | Dentist | 7763 N Nordica Ave, Niles, IL 60714-3311 | 2007-06-26 |
| Find all providers in NILES | ||||
Please comment or provide details below to improve the information on DR. DARRIN GOURLAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.