J. D. Moody, DDS, a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

J. D. MOODY, DDS, A PROFESSIONAL CORPORATION

Practice address

6035 Florin Rd Ste 400
Sacramento, CA 95823-2556

Phone

(916) 239-6955

NPI assigned

Dec 18, 2024

Last updated

Dec 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Moody, DDS

Title

Owner

Phone

(916) 239-6955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1417765843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 FLORIN RD STE 400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232556",
            "telephone_number": "916-239-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 FLORIN RD STE 400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232556",
            "telephone_number": "916-239-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. D. MOODY, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-239-6955",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.