Individual provider Active NPI

Franklin Dagaas Herrera Jr., OT

  • Occupational Therapist
  • Joplin, MO
National Provider Identifier
1821222977
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2005010642 Issued in MO
Practice address
214 W 5TH St
Joplin, MO 64801-2501
Phone
(417) 782-2917
Fax
(417) 782-7038
NPI assigned
May 5, 2009
Last updated
May 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2005010642 MO Primary
Occupational Therapist 225X00000X 1512 OK

Addresses

Primary practice location

214 W 5TH St
Joplin, MO 64801-2501

Mailing address

2004 Mississippi Ave
Joplin, MO 64804-1252
Phone (660) 541-0456

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1512OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Missouri Medical Pro-Care Providers, Inc Past Accepting new patients
NHC Healthcare-Joplin LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1821222977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 MISSISSIPPI AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041252",
            "telephone_number": "660-541-0456",
            "fax_number": "417-782-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W 5TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012501",
            "telephone_number": "417-782-2917",
            "fax_number": "417-782-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "FRANKLIN",
        "middle_name": "DAGAAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2005010642",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "1512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.