Individual provider Active NPI

Derek Jon Frankena, CP,BOCOP

  • Prosthetist
  • Chapel Hill, NC
National Provider Identifier
1679611321
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
200 Timberhill PL
Suite 203
Chapel Hill, NC 27514-1596
Phone
(919) 945-0215
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X Primary
Orthotist 222Z00000X

Addresses

Primary practice location

200 Timberhill PL
Suite 203
Chapel Hill, NC 27514-1596

Mailing address

605 Cabin CRK
Pittsboro, NC 27312-9566
Phone (919) 358-2128

Other identifiers 1

IdentifierTypeStateIssuer
7795372MedicaidNC

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1679611321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 CABIN CRK",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273129566",
            "telephone_number": "919-358-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TIMBERHILL PL",
            "address_2": "SUITE 203",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141596",
            "telephone_number": "919-945-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKENA",
        "first_name": "DEREK",
        "middle_name": "JON",
        "name_prefix": "Mr.",
        "credential": "CP,BOCOP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795372",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.