Active NPI
Sports Plus Inc
- Sports Medicine (Orthopaedic Surgery) Physician
- Nevada, MO
National Provider Identifier
1265619381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- R1J25
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 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 DirectoryLocations
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.