Organization Active NPI

Prosthetics and Orthotics of the Ozarks, Inc

  • Prosthetic/Orthotic Supplier
  • Nixa, MO
National Provider Identifier
1407966344
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROSTHETICS AND ORTHOTICS OF THE OZARKS, INC
Practice address
1269 N Robin St
Nixa, MO 65714-8097
Phone
(417) 725-7539
Fax
(417) 725-4290
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Mr. Michael L Kenney, CP,C.PED
Title
President
Phone
(417) 725-7539

Specialties & licenses 1

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

Addresses

Primary practice location

1269 N Robin St
Nixa, MO 65714-8097

Mailing address

1269 N Robin St
Nixa, MO 65714-8097
Phone (417) 725-7539

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1407966344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 N ROBIN ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148097",
            "telephone_number": "417-725-7539",
            "fax_number": "417-725-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 N ROBIN ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148097",
            "telephone_number": "417-725-7539",
            "fax_number": "417-725-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETICS AND ORTHOTICS OF THE OZARKS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "KENNEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-725-7539",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP,C.PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nixa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.