Active NPI
Dian Lea Doody, M.D.
- Pediatrics Physician
- Joplin, MO
National Provider Identifier
1649400375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R3C73
- Practice address
- 1 Emerald Way
Joplin, MO 64804-5060 - Phone
- (417) 623-1177
- NPI assigned
- Jul 15, 2009
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R3C73 | MO | Primary |
Addresses
Primary practice location
1 Emerald Way
Joplin, MO 64804-5060
Mailing address
1 Emerald Way
Joplin, MO 64804-5060
Phone (417) 623-1177
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3C73 | MO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247616000000",
"number": "1649400375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMERALD WAY",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648045060",
"telephone_number": "417-623-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EMERALD WAY",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648045060",
"telephone_number": "417-623-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOODY",
"first_name": "DIAN",
"middle_name": "LEA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-15",
"last_updated": "2009-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "R3C73",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.