Organization Active NPI

Moody Chiropractic LLC

  • Chiropractor
  • Henderson, NV
National Provider Identifier
1013564012
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOODY CHIROPRACTIC LLC
Practice address
2654 W Horizon Ridge Pkwy Ste B1
Henderson, NV 89052-2863
Phone
(702) 458-1495
Fax
(702) 458-7869
NPI assigned
Aug 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Dr. John P Moody III, DC
Title
Owner
Phone
(702) 525-1027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2654 W Horizon Ridge Pkwy Ste B1
Henderson, NV 89052-2863

Mailing address

2654 W Horizon Ridge Pkwy Ste B1
Henderson, NV 89052-2863
Phone (702) 458-1495

Other names 1

  • Noble Chiropractic-Green Valley Doing business as

National Provider Directory

National Provider Directory

Locations

2654 W Horizon Ridge Pkwy
Ste B1
Henderson, NV 89052
Phone (702) 446-8199

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1013564012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 W HORIZON RIDGE PKWY STE B1",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522863",
            "telephone_number": "702-458-1495",
            "fax_number": "702-458-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 W HORIZON RIDGE PKWY STE B1",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522863",
            "telephone_number": "702-458-1495",
            "fax_number": "702-458-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOODY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-525-1027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noble Chiropractic-Green Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.