NPIMap

Organization Active NPI

Justin Moody PC

Doing business as Horizon West Dental

  • Dentist
  • Crawford, NE
National Provider Identifier
1346317757
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6124 Issued in NE
Legal business name
JUSTIN MOODY PC
Doing business as
Horizon West Dental
Practice address
705 First Street
Crawford, NE 69339-0488
Phone
(308) 665-2025
Fax
(308) 665-1506
NPI assigned
Nov 29, 2006
Last updated
Nov 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. Justin D Moody, DDSNPI 1720396484
Title
Owner
Phone
(605) 716-5622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6124 NE Primary

Addresses

Primary practice location

705 First Street
Crawford, NE 69339-0488

Mailing address

PO Box 488
Crawford, NE 69339-0488
Phone (308) 665-2025

Other names 1

  • Horizon West Dental Doing business as

National Provider Directory

National Provider Directory

Locations

705 1st St
Crawford, NE 69339
Phone (308) 233-5855

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1346317757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "CRAWFORD",
            "state": "NE",
            "postal_code": "693390488",
            "telephone_number": "308-665-2025",
            "fax_number": "308-665-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 FIRST STREET",
            "city": "CRAWFORD",
            "state": "NE",
            "postal_code": "693390488",
            "telephone_number": "308-665-2025",
            "fax_number": "308-665-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN MOODY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-716-5622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon West Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crawford, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.