NPIMap

Organization Active NPI

Midwest Bone & Joint Center, PC

Doing business as Midwest Bone & Joint Center, PC Moberly

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Moberly, MO
National Provider Identifier
1437297967
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
110583 Issued in MO
Legal business name
MIDWEST BONE & JOINT CENTER, PC
Doing business as
Midwest Bone & Joint Center, PC Moberly
Practice address
1517 Union Ave
Suite D
Moberly, MO 65270-9471
Phone
(660) 385-1006
NPI assigned
Feb 5, 2007
Last updated
Sep 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Donet Christopher Main, DONPI 1861409625
Title
Owner
Phone
(660) 385-1006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 110583 MO Primary

Addresses

Primary practice location

1517 Union Ave
Suite D
Moberly, MO 65270-9471

Mailing address

PO Box 795057
Saint Louis, MO 63179-0795
Phone (314) 989-0300

Other names 1

  • Midwest Bone & Joint Center, PC Moberly Doing business as

National Provider Directory

National Provider Directory

Locations

24252 State Highway 11
Kirksville, MO 63501
Phone (660) 385-1006

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1437297967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 795057",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631790795",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 UNION AVE",
            "address_2": "SUITE D",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709471",
            "telephone_number": "660-385-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST BONE & JOINT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "MAIN",
        "authorized_official_first_name": "DONET",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-385-1006",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MO",
            "license": "110583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Bone & Joint Center, PC Moberly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moberly, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.