Active NPI
Moody Chiropractic LLC
- Chiropractor
- Henderson, NV
National Provider Identifier
1013564012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.