Derrick Dufresne

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

12009 Manchester Rd
Des Peres, MO 63131-4416

Phone

(636) 626-9001

NPI assigned

Jan 20, 2022

Last updated

Jan 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1801548904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12009 MANCHESTER RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631314416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12009 MANCHESTER RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631314416",
            "telephone_number": "636-626-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFRESNE",
        "first_name": "DERRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Des Peres Urgent Care, LLC (MedPost Urgent Care - Des Peres)
• Dierbergs Markets Inc (Dierbergs Des Peres)
• Karen Dittmer, NP
• Michael Philip Donahoe, MD
• DRX - FC Management 005, LLC (Doctors Express - Des Peres)
• Rosalie Marie Duvall, LPC, MT-BC
• Erin Dwyer
• E.X.I Health LLC.
• Cynthia Eaton
• Collin Lane Einertson, D.C.

• Durable Medical Equipment & Medical Supplies in Des Peres, MO
• Providers in Des Peres, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.