David Leon Moody Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001932A Issued in IN

Practice address

9511 Delegates Row
Indianapolis, IN 46240-3807

Phone

(317) 571-1480

Fax

(317) 571-1481

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moody Family Chiropractic, PC

  • Chiropractor
  • Indianapolis, IN
  • NPI 1285911354
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1104895549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 DELEGATES ROW",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403807",
            "telephone_number": "317-571-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 DELEGATES ROW",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403807",
            "telephone_number": "317-571-1480",
            "fax_number": "317-571-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "DAVID",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001932A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200296690A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monumental Health LLC
• Joshua Ryan Monzel, DC
• Moody Eyes LLC
• Moody Family Chiropractic, PC
• D Penn Moody, O.D.
• Jeanette Faye Moody, COTA
• Karen M. Moody, MD
• Kristin Noel Moody, LCSW
• Stephen Patrick Moody, LCSW
• Wanda Rene Moody, MD

• Chiropractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.