Organization Active NPI

CC3 Ventures, LLC

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MO
National Provider Identifier
1104738541
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.