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DR. DARRIN GOURLAY D.D.S.
NPI 1316028046
Dentist - General Practice in Niles, MI

Active since October 18, 2006PECOS Enrolled

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Darrin Gourlay D.d.s. NPPES

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

DR. DARRIN GOURLAY D.D.S. (NPI 1316028046) is an individual general practice provider in Niles, Michigan, licensed in Michigan (2901016366) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316028046
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DARRIN GOURLAYCredential: D.D.S.
Location Address104 GRANT STNiles, MI 49120-2201
Mailing Address104 Grant StNiles, MI 49120-2201 · (269) 683-1077
Phone(269) 683-1077
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316028046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901016366
Definition
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.
104 GRANT ST, Niles, MI 49120
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Other Identifiers 1

Medicaid4498481MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Darrin Gourlay D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. ELLEN RENEE WYANT D.M.D.
Dentist (General Practice)
104 GRANT ST
NILES, MI 49120
Berrien County (269) 683-1077

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 Darrin Gourlay's NPI number?

The NPI number for Darrin Gourlay is 1316028046. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Darrin Gourlay located?

Darrin Gourlay practices at 104 Grant St, Niles, MI 49120. The listed phone number is (269) 683-1077.

What is Darrin Gourlay's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Darrin Gourlay enrolled in Medicare?

Yes. Darrin Gourlay is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Darrin Gourlay was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.