Advanced Orthotics and Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ADVANCED ORTHOTICS AND PROSTHETICS

Practice address

2530 S Maiden LN
Joplin, MO 64804-0349

Phone

(417) 627-0999

Fax

(417) 627-0938

NPI assigned

Jun 1, 2005

Last updated

May 13, 2014By 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. Frank W Ikerd, CPO

Title

Owner Practitioner

Phone

(417) 627-0999

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADVANCED O & P Other name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1386646537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 S MAIDEN LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040349",
            "telephone_number": "417-627-0999",
            "fax_number": "417-627-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 S MAIDEN LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040349",
            "telephone_number": "417-627-0999",
            "fax_number": "417-627-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "IKERD",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER PRACTITIONER",
        "authorized_official_telephone_number": "417-627-0999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "625367305",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED O & P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Joplin, MO
• Providers in Joplin, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.