Organization Active NPI

Rex O Lee D O P C

  • Primary Care Clinic/Center
  • Kirksville, MO
National Provider Identifier
1902930456
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R7689 Issued in MO
Legal business name
REX O LEE D O P C
Practice address
200 Pfeiffer Ave
Kirksville, MO 63501-5044
Phone
(660) 665-5607
Fax
(660) 665-5608
NPI assigned
Mar 15, 2007
Last updated
Jun 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Dr. Rex Owen Lee, D.O.NPI 1922000272
Title
President
Phone
(660) 665-5607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R7689 MO Primary

Addresses

Primary practice location

200 Pfeiffer Ave
Kirksville, MO 63501-5044

Mailing address

200 Pfeiffer Ave
Kirksville, MO 63501-5044
Phone (660) 665-5607

National Provider Directory

National Provider Directory

Locations

200 Pfeiffer Ave
Kirksville, MO 63501
Phone (660) 665-5607

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1902930456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PFEIFFER AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015044",
            "telephone_number": "660-665-5607",
            "fax_number": "660-665-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PFEIFFER AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015044",
            "telephone_number": "660-665-5607",
            "fax_number": "660-665-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REX O LEE D O P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-665-5607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "R7689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.