Individual provider Active NPI

Joseph James Defrange

  • Case Manager/Care Coordinator
  • Fayetteville, AR
National Provider Identifier
1245786177
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3005 W Dorothy Jeanne St Apt 9
Fayetteville, AR 72704-8704
Phone
(918) 916-2075
NPI assigned
Aug 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

3005 W Dorothy Jeanne St Apt 9
Fayetteville, AR 72704-8704

Mailing address

3005 W Dorothy Jeanne St Apt 9
Fayetteville, AR 72704-8704
Phone (918) 916-2075

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1245786177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 W DOROTHY JEANNE ST APT 9",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727048704",
            "telephone_number": "918-916-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 W DOROTHY JEANNE ST APT 9",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727048704",
            "telephone_number": "918-916-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRANGE",
        "first_name": "JOSEPH",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.