MISSOURI SPINE INSTITUTE, LLC
NPI 1265686125
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Jefferson City, MO
NPI Status: Active since November 05, 2008
Contact Information
1616 SOUTHRIDGE DR
STE 202
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 635-0401
Fax: (573) 635-6715
- Organization
- Orthopaedic Surgery
- Orthopaedic Surgery of the Spine
- CLIA Number: 26D2100671
- CLIA Cert. Type: Other - STATE AGENCY
- CLIA Exp. Date: 08-18-2027
About MISSOURI SPINE INSTITUTE, LLC
This page provides the complete NPI Profile along with additional information for Missouri Spine Institute, Llc, a provider established in Jefferson City, Missouri operating as a Orthopaedic Surgery, focusing in orthopaedic surgery of the spine . The healthcare provider is registered in the NPI registry with number 1265686125 assigned on November 2008. The practitioner's primary taxonomy code is 207XS0117X with license number LC0926793 (MO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is John D. Spears Do (Owner)
- NPI
- 1265686125
- Provider Name
- MISSOURI SPINE INSTITUTE, LLC
- Entity Type
- Organization
- Location Address
- 1616 SOUTHRIDGE DR STE 202 JEFFERSON CITY, MO 65109
- Location Phone
- (573) 635-0401
- Location Fax
- (573) 635-6715
- Mailing Address
- 1616 SOUTHRIDGE DR STE 202 JEFFERSON CITY, MO 65109
- Mailing Phone
- (573) 635-0401
- Mailing Fax
- (573) 635-6715
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-05-2008
- Last Update Date
- 12-01-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Orthopaedic Surgery of the Spine
- Taxonomy Code
- 207XS0117X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- LC0926793
- License State
- MO
- Taxonomy Description
- Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D2100671
- Facility Type
- Other - STATE AGENCY
- Certificate Effective Date
- August 19, 2025
- Certificate Expiration Date
- August 18, 2027
- Laboratory Director
- ANGELA J. OESTERLY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Missouri Spine Institute, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265686125, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
JEFFERSON CITY, MO 65109
JEFFERSON CITY, MO 65109
JEFFERSON CITY, MO 65109
JEFFERSON CITY, MO 65109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265686125, enumerated as an "organization" on November 05, 2008.
The provider is located at 1616 SOUTHRIDGE DR STE 202 JEFFERSON CITY, MO 65109 and the phone number is (573) 635-0401.
Orthopaedic Surgery with taxonomy code 207XS0117X and a focus in Orthopaedic Surgery of the Spine.
