Active NPI
Junior Saintphard
- Counselor
- Odessa, DE
National Provider Identifier
1174230577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 505 Main St
Odessa, DE 19730-2013 - Phone
- (302) 279-6491
- NPI assigned
- Nov 4, 2022
- Last updated
- Nov 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
505 Main St
Odessa, DE 19730-2013
Mailing address
50 Starboard CT
Dover, DE 19901-8802
Phone (302) 864-7764
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | saintphard | Health Information Exchange (HIE) |
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": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1174230577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 STARBOARD CT",
"city": "DOVER",
"state": "DE",
"postal_code": "199018802",
"telephone_number": "302-864-7764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 MAIN ST",
"city": "ODESSA",
"state": "DE",
"postal_code": "197302013",
"telephone_number": "302-279-6491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAINTPHARD",
"first_name": "JUNIOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-04",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "saintphard",
"affiliation": "N",
"endpointDescription": "last name",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "505 Main St",
"city": "Odessa",
"state": "DE",
"country_code": "US",
"postal_code": "197302013",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Odessa, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.