Anthony Justin Moody, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2096 Issued in NE

Practice address

14135 Q St
Omaha, NE 68137-2600

Phone

(402) 881-0883

NPI assigned

Jun 22, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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 Chiropractic Group LLC

  • Chiropractor
  • Clearwater, FL
  • NPI 1598605784
  NPD Authorized official
• Awaken Chiropractic LLC

  • Chiropractor
  • Omaha, NE
  • NPI 1184145823
  Medicare reassignment
• Patriot Family Chiropractic LLC

  • Chiropractor
  • Omaha, NE
  • NPI 1477850196
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1144899428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 S 187TH PLZ APT 413",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681303003",
            "telephone_number": "402-415-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 Q ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372600",
            "telephone_number": "402-881-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "ANTHONY",
        "middle_name": "JUSTIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tha The Moo
• Way Kay Moo
• Ywa Du Moo
• Brandon T Mooberry, PAC
• Abagayle Thomas Moody, DDS
• Ellie Moody, M.S. CCC-SLP
• Emily J Moody, PT
• Michele Moody
• Angie Moon, APRN
• Margret Moon

• Chiropractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.