Active NPI
Advanced Orthotics and Prosthetics
- Prosthetic/Orthotic Supplier
- Branson, MO
National Provider Identifier
1174527162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ADVANCED ORTHOTICS AND PROSTHETICS
- Practice address
- 215 S 2ND St
Ste C
Branson, MO 65616-2860 - Phone
- (417) 239-2999
- Fax
- (417) 239-2938
- NPI assigned
- Jun 8, 2005
- Last updated
- Aug 22, 2020
- 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
- Mr. Frank W Ikerd, CPO
- Title
- Owner/Practitioner
- Phone
- (417) 239-2999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
215 S 2ND St
Ste C
Branson, MO 65616-2860
Mailing address
PO Box 4331
Joplin, MO 64803-4331
Phone (417) 627-0999
Other names 1
- ADVANCED O & P
National Provider Directory
National Provider DirectoryLocations
2530 S Maiden Ln
Ste A
Joplin, MO 64804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174527162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4331",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648034331",
"telephone_number": "417-627-0999",
"fax_number": "417-627-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S 2ND ST",
"address_2": "STE C",
"city": "BRANSON",
"state": "MO",
"postal_code": "656162860",
"telephone_number": "417-239-2999",
"fax_number": "417-239-2938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED ORTHOTICS AND PROSTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "IKERD",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER/PRACTITIONER",
"authorized_official_telephone_number": "417-239-2999",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ADVANCED O & P",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.