DR. DARRELL KELLUS PRUITT DDS
NPI 1689911349
Dentist - General Practice in Fort Worth, TX

Active since January 14, 2013PECOS Enrolled
6737 BRENTWOOD STAIR RD, #220, FORT WORTH, TX 76112(817) 451-2323(817) 451-1336 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Darrell Kellus Pruitt Dds NPPES

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

DR. DARRELL KELLUS PRUITT DDS (NPI 1689911349) is an individual general practice provider in Fort Worth, Texas, licensed in Texas (13388) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689911349
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DARRELL KELLUS PRUITTCredential: DDS
Location Address6737 BRENTWOOD STAIR RD, #220Fort Worth, TX 76112-3348
Mailing Address6737 Brentwood Stair Rd, #220Fort Worth, TX 76112-3348 · (817) 451-2323 · Fax (817) 451-1336
Fax(817) 451-1336
Sole ProprietorYes
Enumeration DateJanuary 14, 2013
NPI 1689911349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 13388
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.

6737 BRENTWOOD STAIR RD, Fort Worth, TX 76112

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. Darrell Kellus Pruitt Dds 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 76112 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 3

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

Audiologist
6737 BRENTWOOD STAIR RD, SUITE #116
FORT WORTH, TX 76112
Home Health
6737 BRENTWOOD STAIR RD, SUITE 136
FORT WORTH, TX 76112
Home Health
6737 BRENTWOOD STAIR RD
FORT WORTH, TX 76112

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 Darrell Pruitt's NPI number?

The NPI number for Darrell Pruitt is 1689911349. It was assigned to this individual provider in the NPPES registry on January 14, 2013.

Where is Darrell Pruitt located?

Darrell Pruitt practices at 6737 Brentwood Stair Rd #220, Fort Worth, TX 76112. The listed phone number is (817) 451-2323.

What is Darrell Pruitt's specialty?

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

Is Darrell Pruitt enrolled in Medicare?

Yes. Darrell Pruitt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Darrell Pruitt was last updated on January 14, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.