Active NPI
John James Oloughlin, DMD
- Dentist
- Moberly, MO
National Provider Identifier
1164571519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2003014021
- Practice address
- 1616 N Morely
Ste B
Moberly, MO 65270 - Phone
- (660) 263-2002
- Fax
- (660) 263-2029
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2003014021 | MO | Primary |
Addresses
Primary practice location
1616 N Morely
Ste B
Moberly, MO 65270
Mailing address
PO Box 603
1616 N Morley Ste B
Moberly, MO 65270
Phone (660) 263-2002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003014021 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164571519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603",
"address_2": "1616 N MORLEY STE B",
"city": "MOBERLY",
"state": "MO",
"postal_code": "65270",
"telephone_number": "660-263-2002",
"fax_number": "660-263-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 N MORELY",
"address_2": "STE B",
"city": "MOBERLY",
"state": "MO",
"postal_code": "65270",
"telephone_number": "660-263-2002",
"fax_number": "660-263-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLOUGHLIN",
"first_name": "JOHN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2003014021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moberly, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.