Organization Active NPI

Lux Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Joplin, MO
National Provider Identifier
1184826703
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LUX ORTHOTICS, INC
Practice address
1307 W 20TH St
Joplin, MO 64804-1700
Phone
(417) 624-2332
Fax
(417) 624-0599
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Richard V LuxNPI 1528075843
Title
Office Manager
Phone
(417) 624-2332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1307 W 20TH St
Joplin, MO 64804-1700

Mailing address

1307 W 20TH St
Joplin, MO 64804-1700
Phone (417) 624-2332

Other identifiers 3

IdentifierTypeStateIssuer
106787OtherMODME
100795140AMedicaidOK
628632002MedicaidMO

National Provider Directory

National Provider Directory

Locations

1307 W 20th St
Joplin, MO 64804
Phone (417) 624-2332

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1184826703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W 20TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041700",
            "telephone_number": "417-624-2332",
            "fax_number": "417-624-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W 20TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041700",
            "telephone_number": "417-624-2332",
            "fax_number": "417-624-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "LUX",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-624-2332"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "106787",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100795140A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628632002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.