DR. DANIEL DAVID CARRIS DO
NPI 1336841337
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since March 21, 2023PECOS Enrolled
100 NICOLLS RD, HEALTH SCIENCE CENTER T16, ROOM 020, STONY BROOK, NY 11790(631) 444-7411 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2026, Mar 21, 2023 (2 updates tracked since 2023).

About Dr. Daniel David Carris Do NPPES

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

DR. DANIEL DAVID CARRIS DO (NPI 1336841337) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mineola, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336841337
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DANIEL DAVID CARRISCredential: DO
Location Address100 NICOLLS RD, HEALTH SCIENCE CENTER T16, ROOM 020Stony Brook, NY 11790-8160
Mailing Address100 Nicolls Rd, Health Science Center T16, Room 020Stony Brook, NY 11790-8160 · (631) 444-7411
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 21, 2023
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
NPI 1336841337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedHospitalistTaxonomy 208M00000X · License 342937 (NY)
100 NICOLLS RD, Stony Brook, NY 11790

Secondary Practice Location 1

Location 1259 1st StMineola, NY 11501-3957 · Phone (516) 663-0333

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. Daniel David Carris Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436629268
PECOS Enrollment IDI20260521003610
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.

Other Providers at the Same Location NPPES 15

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

Internal Medicine
100 NICOLLS RD
STONY BROOK, NY 11790
Pediatrics (Pediatric Nephrology)
100 NICOLLS RD, HSC T-11, RM 060
STONY BROOK, NY 11790
Nurse Practitioner (Adult Health)
100 NICOLLS RD
STONY BROOK, NY 11790
Family Medicine
100 NICOLLS RD
STONY BROOK, NY 11790
Nurse Practitioner
100 NICOLLS RD, STONY BROOK UNIVERSITY MEDICAL CENTER, L11 N
STONY BROOK, NY 11790
Physician Assistant
100 NICOLLS RD
STONY BROOK, NY 11790
Student in an Organized Health Care Education/Training Program
100 NICOLLS RD
STONY BROOK, NY 11790
Dentist
100 NICOLLS RD
STONY BROOK, NY 11790

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 Daniel Carris's NPI number?

The NPI number for Daniel Carris is 1336841337. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Daniel Carris located?

Daniel Carris practices at 100 Nicolls Rd Health Science Center T16, Room 020, Stony Brook, NY 11790. The listed phone number is (631) 444-7411.

What is Daniel Carris's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Daniel Carris enrolled in Medicare?

Yes. Daniel Carris is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Carris was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.