Organization Active NPI

Performance Plus Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MO
National Provider Identifier
1174864763
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PERFORMANCE PLUS MEDICAL EQUIPMENT
Practice address
2100 S Brentwood Blvd Ste C
Springfield, MO 65804-2534
Phone
(417) 720-1662
NPI assigned
Mar 7, 2013
Last updated
Aug 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Christopher Noah Parks
Title
Managing Member
Phone
(918) 494-6690

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

2100 S Brentwood Blvd Ste C
Springfield, MO 65804-2534

Mailing address

2100 S Brentwood Blvd Ste C
Springfield, MO 65804-2534
Phone (417) 720-1662

National Provider Directory

National Provider Directory

Locations

2100 S Brentwood Blvd
Ste C
Springfield, MO 65804
Phone (417) 720-1662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1174864763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S BRENTWOOD BLVD STE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042534",
            "telephone_number": "417-720-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S BRENTWOOD BLVD STE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042534",
            "telephone_number": "417-720-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PLUS MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "NOAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "918-494-6690"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.