Van Der Watt Prosthetics & Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

VAN DER WATT PROSTHETICS & ORTHOTICS

Practice address

11 N. Main St.
Greenwood, AR 72936

Phone

(479) 357-1840

Fax

(479) 357-1839

NPI assigned

Sep 7, 2017

Last updated

Sep 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Francois J Van Der Watt, CPONPI 1871970079

Title

Owner

Phone

(479) 357-1840

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Van Der Watt Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Barling, AR
  • NPI 1841098308

  9931468063

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

V2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Van Der Watt Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Barling, AR
  • NPI 1841098308
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Francois Van Der Watt, CPO

  • Prosthetist
  • Greenwood, AR
  • NPI 1871970079
  NPD Authorized official
• Donavan Jones, PROSTHETIST

  • Prosthetist
  • Barling, AR
  • NPI 1750145488
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1063930246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729360843",
            "telephone_number": "479-357-1840",
            "fax_number": "479-357-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N. MAIN ST.",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "72936",
            "telephone_number": "479-357-1840",
            "fax_number": "479-357-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DER WATT PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "VAN DER WATT",
        "authorized_official_first_name": "FRANCOIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-357-1840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Terry, PT, DPT
• The Guidance Center - RCF Greenwood (WACGC-RCF Greenwood)
• Crissy Ann Thompson, PLPC
• Kimberly Tomlin
• Sara Tomlinson
• Francois Van Der Watt, CPO
• Kaylia Danielle Vandermillion, LPC
• Ashley Waack
• Walgreen Co (Walgreens #12912)
• Walmart Inc. (Walmart Pharmacy 10-3231)

• Prosthetic/Orthotic Supplier in Greenwood, AR
• Providers in Greenwood, AR by specialty
• Prosthetic/Orthotic Supplier in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.