Organization Active NPI

Joplin Surgical Arts, LLC

  • Ambulatory Surgical Clinic/Center
  • Joplin, MO
National Provider Identifier
1790971976
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
207-0 Issued in MO
Legal business name
JOPLIN SURGICAL ARTS, LLC
Practice address
620 W 32ND St Ste B
Joplin, MO 64804-2526
Phone
(417) 781-4551
Fax
(417) 781-5809
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. Bradley R Burnett, DDS
Title
Vice President
Phone
(417) 621-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 207-0 MO Primary

Addresses

Primary practice location

620 W 32ND St Ste B
Joplin, MO 64804-2526

Mailing address

620 W 32ND St Ste B
Joplin, MO 64804-2526
Phone (417) 781-4551

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1790971976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W 32ND ST STE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042526",
            "telephone_number": "417-781-4551",
            "fax_number": "417-781-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W 32ND ST STE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042526",
            "telephone_number": "417-781-4551",
            "fax_number": "417-781-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOPLIN SURGICAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "417-621-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "207-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.