Individual provider Active NPI

Joshua Caleb Lorah

  • Peer Specialist
  • Altus, OK
National Provider Identifier
1043748361
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
123 W Commerce St FL 5
Altus, OK 73521-3850
Phone
(580) 482-2809
Fax
(580) 482-2820
NPI assigned
May 31, 2017
Last updated
May 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

123 W Commerce St FL 5
Altus, OK 73521-3850

Mailing address

1501 S Park LN Apt 704
Altus, OK 73521-6967
Phone (580) 954-2179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1043748361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S PARK LN APT 704",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735216967",
            "telephone_number": "580-954-2179",
            "fax_number": "580-482-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W COMMERCE ST FL 5",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213850",
            "telephone_number": "580-482-2809",
            "fax_number": "580-482-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORAH",
        "first_name": "JOSHUA",
        "middle_name": "CALEB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.