Organization Active NPI

Moody Chiropractic, PLLC

  • Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1154553402
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3997 Issued in NC
Legal business name
MOODY CHIROPRACTIC, PLLC
Practice address
2909 Reynolda Rd
Winston Salem, NC 27106-3048
Phone
(336) 777-8450
Fax
(336) 777-8435
NPI assigned
Aug 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Dr. William Edward Moody, D.C.
Title
Owner
Phone
(336) 777-8450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3997 NC Primary

Addresses

Primary practice location

2909 Reynolda Rd
Winston Salem, NC 27106-3048

Mailing address

2909 Reynolda Rd
Winston Salem, NC 27106-3048
Phone (336) 777-8450

National Provider Directory

National Provider Directory

Locations

2909 Reynolda Rd
Winston Salem, NC 27106
Phone (336) 777-8450

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1154553402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 REYNOLDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063048",
            "telephone_number": "336-777-8450",
            "fax_number": "336-777-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 REYNOLDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063048",
            "telephone_number": "336-777-8450",
            "fax_number": "336-777-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOODY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-777-8450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "3997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.