Active NPI
J.U.S.T. Orthotics
- Durable Medical Equipment & Medical Supplies
- Perryville, MO
National Provider Identifier
1508312786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LC001493885 | Other | MO | STATE OF MISSOURI |
National Provider Directory
National Provider Directory- Tax ID family
- Just Orthotics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Jackson, MO
- NPI 1417305665
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.