Mo C&P LLC

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

Legal business name

MO C&P LLC

Doing business as

VetExPro LLC

Practice address

3050 S National Ave Ste 105
Springfield, MO 65804-4242

Phone

(417) 771-7741

NPI assigned

Oct 26, 2023

Last updated

Oct 26, 2023By 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

Dr. Eric Chavez, DMSC, PA-CNPI 1609823079

Title

Executive Officer

Phone

(417) 425-8521

Specialties & licenses 1

Addresses

Other names 1

• VetExPro LLC Doing business as

Tax ID family

Mo CP LLC2 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.

• Mo C&P LLC

  • VA Clinic/Center
  • Springfield, MO
  • NPI 1639888647
  NPD tax ID

Locations

Practitioners 1

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.

• Eric Martin Chavez, P.A.

  • Physician Assistant
  • Springfield, MO
  • NPI 1609823079
  NPD Authorized official

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1659143253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 S NATIONAL AVE STE 105",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044242",
            "telephone_number": "417-771-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 S NATIONAL AVE STE 105",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044242",
            "telephone_number": "417-771-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MO C&P LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "417-425-8521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMSC, PA-C"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VetExPro LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Lea Mizer, BCBA
• Mikayla Mizer
• Trina T. Mizer, LCSW
• Mmi Laboratory Services, LLC
• Mo C&P LLC
• Gilbert Louis Mobley, MD
• Modayil Enterprises, LLC (Right at Home Springfield)
• Falgun M. Modhia, MD
• Preeti Modi
• Christina Marie Moellering, MD

• VA Clinic/Center in Springfield, MO
• Providers in Springfield, MO by specialty
• VA Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.