Allen County Community College

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0433232 Issued in KS

Legal business name

ALLEN COUNTY COMMUNITY COLLEGE

Practice address

1801 N Cottonwood St
Iola, KS 66749-1648

Phone

(972) 367-4845

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Mouzon Bass III

Title

Agent

Phone

(972) 367-4845

Specialties & licenses 1

Addresses

Other names 1

• ACCC Sports Medicine Doing business as

Locations

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1124569900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N COTTONWOOD ST",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667491648",
            "telephone_number": "972-367-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN COUNTY COMMUNITY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MOUZON",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "972-367-4845",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "0433232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCC Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ernest E Adams, LMSW
• Afters Inc
• Ally Claire Alarid
• Allen County Kansas Hospital
• Allen County Kansas Hospital
• Allen Regional Transit, Inc
• David Conrad Andersen, D.D.S.
• Kristen Marie Anderson, DNP, APRN, FNP-C

• Orthopaedic Surgery Physician in Iola, KS
• Providers in Iola, KS by specialty
• Orthopaedic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.