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