Organization Active NPI

DRS Deckard and Neely

  • Specialist
  • Springfield, MO
National Provider Identifier
1043441124
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2003014006 Issued in MO
Legal business name
DRS DECKARD AND NEELY
Practice address
3230 E Ridgeview St
Springfield, MO 65804-4076
Phone
(417) 882-1822
Fax
(417) 882-7476
NPI assigned
Aug 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Mary Ann Beckers
Title
Receptionist
Phone
(417) 882-1822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 33472 MO
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 2003014006 MO Primary

Addresses

Primary practice location

3230 E Ridgeview St
Springfield, MO 65804-4076

Mailing address

3230 E Ridgeview St
Springfield, MO 65804-4076
Phone (417) 882-1822

Other identifiers 1

IdentifierTypeStateIssuer
000000654OtherMOMEDICARE PTAN NUMBER

National Provider Directory

National Provider Directory

Locations

3230 E Ridgeview St
Springfield, MO 65804
Phone (417) 427-4293

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1043441124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E RIDGEVIEW ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044076",
            "telephone_number": "417-882-1822",
            "fax_number": "417-882-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 E RIDGEVIEW ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044076",
            "telephone_number": "417-882-1822",
            "fax_number": "417-882-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS DECKARD AND NEELY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "BECKERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "417-882-1822"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "33472",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "2003014006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER",
            "identifier": "000000654",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.