Active NPI
CC3 Ventures, LLC
- Durable Medical Equipment & Medical Supplies
- Jackson, MO
National Provider Identifier
1104738541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CC3 VENTURES, LLC
- Practice address
- 469 Steeplechase Rd
Jackson, MO 63755-3747 - Phone
- (573) 382-5387
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cooper Callis
- Title
- Owner
- Phone
- (573) 382-5387
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
469 Steeplechase Rd
Jackson, MO 63755-3747
Mailing address
469 Steeplechase Rd
Jackson, MO 63755-3747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1104738541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "469 STEEPLECHASE RD",
"city": "JACKSON",
"state": "MO",
"postal_code": "637553747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 STEEPLECHASE RD",
"city": "JACKSON",
"state": "MO",
"postal_code": "637553747",
"telephone_number": "573-382-5387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CC3 VENTURES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "CALLIS",
"authorized_official_first_name": "COOPER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-382-5387"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.