Organization Active NPI

Heartland LLC

  • Transportation Network Company
  • Fair Grove, MO
National Provider Identifier
1104572460
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
Legal business name
HEARTLAND LLC
Practice address
10156 N Farm Road 165
Fair Grove, MO 65648-8019
Phone
(417) 536-3503
NPI assigned
Feb 25, 2022
Last updated
Feb 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Mr. Brian Kent Paxston
Title
Owner
Phone
(417) 536-3503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X Primary

Addresses

Primary practice location

10156 N Farm Road 165
Fair Grove, MO 65648-8019

Mailing address

10156 N Farm Road 165
Fair Grove, MO 65648-8019
Phone (417) 536-3503

Other practice location 1

6132 Sheridan St
Davenport, IA 52806-2105
Phone (563) 340-1425

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1104572460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10156 N FARM ROAD 165",
            "city": "FAIR GROVE",
            "state": "MO",
            "postal_code": "656488019",
            "telephone_number": "417-536-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10156 N FARM ROAD 165",
            "city": "FAIR GROVE",
            "state": "MO",
            "postal_code": "656488019",
            "telephone_number": "417-536-3503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6132 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528062105",
            "country_code": "US",
            "telephone_number": "563-340-1425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEARTLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "PAXSTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-536-3503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Grove, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.