Active NPI
Kristi Hallowell Moody, DDS
- Dentist
- Frisco, TX
National Provider Identifier
1598008070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19269
- Practice address
- 3880 Parkwood Blvd
Suite 103
Frisco, TX 75034-1928 - Phone
- (972) 377-7800
- NPI assigned
- Apr 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 19269 | TX | Primary |
Addresses
Primary practice location
3880 Parkwood Blvd
Suite 103
Frisco, TX 75034-1928
Mailing address
3880 Parkwood Blvd
Suite 103
Frisco, TX 75034-1928
Phone (972) 377-7800
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 |
|---|---|---|---|
| 19269 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Impressions, LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1598008070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 PARKWOOD BLVD",
"address_2": "SUITE 103",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341928",
"telephone_number": "972-377-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 PARKWOOD BLVD",
"address_2": "SUITE 103",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341928",
"telephone_number": "972-377-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "KRISTI",
"middle_name": "HALLOWELL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-03",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "19269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.