Moyock Institute LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MOYOCK INSTITUTE LLC

Practice address

246 Oxford Rd
Moyock, NC 27958-8763

Phone

(252) 285-6898

NPI assigned

Jun 6, 2019

Last updated

Nov 19, 2020By 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

Cory ArnoldNPI 1235461757

Title

Director

Phone

(757) 286-8030

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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.

• Cory Arnold

  • Other Specialist/Technologist
  • Virginia Beach, VA
  • NPI 1235461757
  NPD Authorized official

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1477112100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 OXFORD RD",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279588763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 OXFORD RD",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279588763",
            "telephone_number": "252-285-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOYOCK INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-286-8030"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mermaid Permanent Cosmetics LLC
• Sierra Meza
• Brianna Miles
• Alison Millward
• Gina Motsay
• Clarence Scott Neal
• Ruth Nevins
• Kanon Nixon
• Forrest P Old Jr., MD
• Kathleen Overholtzer

• Clinic/Center in Moyock, NC
• Providers in Moyock, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.