Bald Spot Racing, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

BALD SPOT RACING, LLC

Doing business as

Bald Spot Sports

Practice address

17715 Commerce Dr
Suite 100
Westfield, IN 46074-8971

Phone

(317) 537-7328

NPI assigned

Aug 19, 2010

Last updated

Sep 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Travis Cobb

Title

Partner

Phone

(317) 705-2880

Specialties & licenses 1

Addresses

Other names 1

• Bald Spot Sports Doing business as

Locations

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1356657050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17715 COMMERCE DRIVE",
            "address_2": "SUITE 100",
            "city": "WESTFEILD",
            "state": "IN",
            "postal_code": "460748972",
            "telephone_number": "317-402-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17715 COMMERCE DR",
            "address_2": "SUITE 100",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748971",
            "telephone_number": "317-537-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALD SPOT RACING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "317-705-2880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bald Spot Sports",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Westfield, IN
• Providers in Westfield, IN by specialty
• Customized Equipment (DME) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.