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DEREK DRAGON
NPI 1568076925
Student in an Organized Health Care Education/Training Program in Harveys Lake, PA

Active since September 03, 2020
1319 SCHOOL HOUSE RD, HARVEYS LAKE, PA 18618(570) 592-0202 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Derek Dragon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK DRAGON (NPI 1568076925) is an individual student in an organized health care education/training program in Harveys Lake, Pennsylvania and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1568076925
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK DRAGON
Location Address1319 SCHOOL HOUSE RDHarveys Lake, PA 18618-2135
Mailing Address1319 School House RdHarveys Lake, PA 18618-2135 · (570) 592-0202
Phone(570) 592-0202
Sole ProprietorYes
Enumeration DateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
✔ NPI 1568076925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1319 SCHOOL HOUSE RD, Harveys Lake, PA 18618
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Dragon's NPI number?

The NPI number for Derek Dragon is 1568076925. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Derek Dragon located?

Derek Dragon practices at 1319 School House Rd, Harveys Lake, PA 18618. The listed phone number is (570) 592-0202.

What is Derek Dragon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Derek Dragon was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.