Organization Active NPI

J.U.S.T. Orthotics

  • Durable Medical Equipment & Medical Supplies
  • Perryville, MO
National Provider Identifier
1508312786
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
J.U.S.T. ORTHOTICS
Practice address
106 Perry PLZ
Perryville, MO 63775-1207
Phone
(573) 605-0321
NPI assigned
Aug 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Richard Surface
Title
President
Phone
57360550321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

106 Perry PLZ
Perryville, MO 63775-1207

Mailing address

106 Perry Plaza
Perryville, MO 63775

Other identifiers 1

IdentifierTypeStateIssuer
LC001493885OtherMOSTATE OF MISSOURI

National Provider Directory

National Provider Directory
Tax ID family
Just Orthotics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

106 Perry Plz
Perryville, MO 63775
Phone (573) 605-0321

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1508312786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PERRY PLAZA",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "63775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PERRY PLZ",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751207",
            "telephone_number": "573-605-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.U.S.T. ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "SURFACE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "57360550321"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI",
            "identifier": "LC001493885",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.