NPIMap

Organization Active NPI

JC Peds, LLC

  • Pediatrics Physician
  • Jefferson City, MO
National Provider Identifier
1710568233
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
JC PEDS, LLC
Practice address
1705 Christy Dr Ste 210
Jefferson City, MO 65101-5195
Phone
(573) 606-7337
Fax
(573) 616-4459
NPI assigned
Apr 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Dr. Lora Bias Folz, MDNPI 1609856459
Title
Managing Partner
Phone
(573) 606-7337

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1705 Christy Dr Ste 210
Jefferson City, MO 65101-5195

Mailing address

1705 Christy Dr Ste 210
Jefferson City, MO 65101-5195
Phone (573) 606-7337

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL debbie@mboinc.com Direct

National Provider Directory

National Provider Directory

Locations

1705 Christy Dr
Ste 210
Jefferson City, MO 65101
Phone (573) 606-7337

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1710568233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 CHRISTY DR STE 210",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651015195",
            "telephone_number": "573-606-7337",
            "fax_number": "573-616-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 CHRISTY DR STE 210",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651015195",
            "telephone_number": "573-606-7337",
            "fax_number": "573-616-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC PEDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "FOLZ",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "BIAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "573-606-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "debbie@mboinc.com",
            "affiliation": "N",
            "endpointDescription": "This is our business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 Southwest Blvd Ste C",
            "city": "Jefferson City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "651092501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.