Larry Gene Moreland Jr.

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

9458 Bedford Ave
Omaha, NE 68134-4608

Phone

(402) 637-5003

NPI assigned

Feb 19, 2025

Last updated

Feb 19, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1417753708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9458 BEDFORD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344608",
            "telephone_number": "402-637-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9458 BEDFORD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344608",
            "telephone_number": "402-637-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "LARRY",
        "middle_name": "GENE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanetsy Morciego Santana
• Jacob Tyler Mordhorst, CF-SLP
• Thomas J Morehead Jr., D.C.
• Kathryn J Moreland, MD
• Larry Moreland III
• Le'Ondra Moreland
• Marvin Terrel Moreland
• Elizabeth Anna Morell, PH.D.
• Angela Louise Morelli, R.N.
• Rosa Hilda Morelos

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.