JAMES L. DERRICO DDS LLC
NPI 1235700014
Durable Medical Equipment & Medical Supplies - Customized Equipment in Jackson, WY

Q: What is James L. Derrico Dds LLC's NPI number?

The NPI number for James L. Derrico Dds LLC is 1235700014. It was assigned to this organization in the NPPES registry on July 2, 2021.

Q: What is James L. Derrico Dds LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

Active since July 02, 2021

1130 S HWY 89, JACKSON, WY 83001(307) 200-6644 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2023, Feb 17, 2023, Feb 3, 2023 and 3 more (6 updates tracked since 2021).

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About James L. Derrico Dds Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES L. DERRICO DDS LLC (NPI 1235700014) is a healthcare organization registered as a customized equipment in Jackson, Wyoming and active in the NPI registry since July 2021. The organization lists James L Derrico, Owner, as its authorized official.

NPPES Registry Identity

NPI1235700014

Entity TypeOrganization

Primary Taxonomy332BC3200X

Legal Business NameJAMES L. DERRICO DDS LLC

Location Address1130 S HWY 89Jackson, WY 83001-8512

Mailing AddressPo Box 806Jackson, WY 83001-0806 · (630) 399-7367

Phone(307) 200-6644

Organization SubpartNo

Authorized OfficialJames L DerricoOwner · (630) 399-7367

Enumeration DateJuly 2, 2021

Last NPPES UpdateAugust 3, 20236 updates tracked since enumeration

NPPES CertifiedAugust 3, 2023

✔ NPI 1235700014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers

Taxonomy Code332BC3200X

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

1130 S HWY 89, Jackson, WY 83001

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OWENS FAMILY DENTISTRY

Clinic/Center (Dental)

1130 S HWY 89
JACKSON, WY 83001

Teton County (307) 733-3848

DR. STEPHEN E OWENS JR. D.D.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

1130 S HWY 89
JACKSON, WY 83001

Teton County (307) 733-3848

JAMES L DERRICO DDS, LLC

Dentist

1130 S HWY 89
JACKSON, WY 83001

Teton County (307) 200-6644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James L. Derrico Dds LLC's NPI number?

The NPI number for James L. Derrico Dds LLC is 1235700014. It was assigned to this organization in the NPPES registry on July 2, 2021.

Where is James L. Derrico Dds LLC located?

James L. Derrico Dds LLC is located at 1130 S Hwy 89, Jackson, WY 83001. The listed phone number is (307) 200-6644.

What is James L. Derrico Dds LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for James L. Derrico Dds LLC was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.