Organization Active NPI

Sports Plus Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Nevada, MO
National Provider Identifier
1265619381
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
R1J25 Issued in MO
Legal business name
SPORTS PLUS INC
Practice address
127 S Main St
Nevada, MO 64772-3363
Phone
(417) 667-4620
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mrs. Debra Compton
Title
Vice President
Phone
(417) 667-4620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X R1J25 MO Primary

Addresses

Primary practice location

127 S Main St
Nevada, MO 64772-3363

Mailing address

127 S Main St
Nevada, MO 64772-3363

National Provider Directory

National Provider Directory

Locations

202 State St
Fort Scott, KS 66701
Phone (620) 223-4737

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1265619381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S MAIN ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S MAIN ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723363",
            "telephone_number": "417-667-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "417-667-4620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MO",
            "license": "R1J25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.