{"npi":"1992884217","type":"NPI-2","status":"active","name":{"display":"Lordex Spine Center Of Columbia P.C.","other":[],"organization_name":"LORDEX SPINE CENTER OF COLUMBIA P.C.","authorised_official":"Brooks Travis"},"specialty":{"primary_taxonomy":"204C00000X","primary_taxonomy_description":"Sports Medicine (Neuromusculoskeletal Medicine) Physician","slug":"sports-medicine-neuromusculoskeletal-medicine-physician","schema_org_specialty":null,"all":[{"code":"204C00000X","description":"Sports Medicine (Neuromusculoskeletal Medicine) Physician","primary":false,"state":"MO","license":"2002023835"},{"code":"204C00000X","description":"Sports Medicine (Neuromusculoskeletal Medicine) Physician","primary":true,"state":"MO","license":"R8620"}]},"addresses":[{"purpose":"LOCATION","street_1":"3400 BUTTONWOOD DR","city":"COLUMBIA","state":"MO","postal_code":"652013720","country_code":"US","street_2":"STE C","phone":"5734430551","fax":"5734422959"},{"purpose":"MAILING","street_1":"3400 BUTTONWOOD DR","city":"COLUMBIA","state":"MO","postal_code":"652013720","country_code":"US","street_2":"STE C","phone":"5734430551","fax":"5734422959"}],"license":{"state":"MO","number":"R8620"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050826000388","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MO","pac_id":"6800827130"}]},"enumeration_date":"2006-11-06","last_updated":"2009-08-17","_meta":{"source":"NPPES","snapshot_date":"2009-08-17","doc_url":"https://findmynpi.com/api"}}