Organization Active NPI

Sos Buisness Trust

  • Prosthetic/Orthotic Supplier
  • Smyrna, TN
National Provider Identifier
1790989754
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
3 Issued in TN
Legal business name
SOS BUISNESS TRUST
Practice address
515 Stonecrest Pkwy
Suite 210
Smyrna, TN 37167-6826
Phone
(615) 459-7560
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
BJ Stagner Jr., C.P.O.
Title
Trustee Practitioner
Phone
(615) 868-7626

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 4 TN
Prosthetic/Orthotic Supplier 335E00000X 3 TN Primary

Addresses

Primary practice location

515 Stonecrest Pkwy
Suite 210
Smyrna, TN 37167-6826

Mailing address

3918 Dickerson Pike
Suite 114
Nashville, TN 37207-1328

Other names 1

  • Stagner Orthopedic Services Doing business as

National Provider Directory

National Provider Directory

Locations

515 Stonecrest Pkwy
Ste 210
Smyrna, TN 37167
Phone (615) 459-7560

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790989754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 DICKERSON PIKE",
            "address_2": "SUITE 114",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372071328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 STONECREST PKWY",
            "address_2": "SUITE 210",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676826",
            "telephone_number": "615-459-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOS BUISNESS TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAGNER",
        "authorized_official_first_name": "BJ",
        "authorized_official_title_or_position": "TRUSTEE PRACTITIONER",
        "authorized_official_telephone_number": "615-868-7626",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "4",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stagner Orthopedic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.