Organization Active NPI

Advanced Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Branson, MO
National Provider Identifier
1174527162
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.