Individual provider Active NPI

Francois Van Der Watt, CPO

  • Prosthetist
  • Greenwood, AR
National Provider Identifier
1871970079
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
2417 Issued in AR
Practice address
11 N. Main St
Greenwood, AR 72936-0000
Phone
(479) 357-1840
Fax
(479) 357-1839
NPI assigned
Apr 27, 2015
Last updated
Feb 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 2417 AR
Prosthetist 224P00000X 2417 AR Primary

Addresses

Primary practice location

11 N. Main St
Greenwood, AR 72936-0000

Mailing address

PO Box 843
Greenwood, AR 72936-0843
Phone (479) 357-1840

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

State licenses

LicenseStateTypeSpecialty
2417ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Van Der Watt Prosthetics & Orthotics Current Accepting new patients
Van Der Watt Prosthetics & Orthotics Prosthetist Current Accepting new patients

Locations

11 N Main St
Greenwood, AR 72936
Phone (479) 357-1840

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1871970079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729360843",
            "telephone_number": "479-357-1840",
            "fax_number": "479-357-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N. MAIN ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729360000",
            "telephone_number": "479-357-1840",
            "fax_number": "479-357-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER WATT",
        "first_name": "FRANCOIS",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "AR",
            "license": "2417",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "AR",
            "license": "2417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.