NPIMap

Organization Active NPI

J. David Moody, DDS, a Professional Dental Corporation

Doing business as Affordable Dentures & Implants - Redding

  • General Practice Dentistry
  • Redding, CA
National Provider Identifier
1699498972
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
J. DAVID MOODY, DDS, A PROFESSIONAL DENTAL CORPORATION
Doing business as
Affordable Dentures & Implants - Redding
Practice address
1627 Hilltop Dr Ste a
Redding, CA 96002-0252
Phone
(530) 223-2989
NPI assigned
Sep 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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
(530) 223-2989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1627 Hilltop Dr Ste a
Redding, CA 96002-0252

Mailing address

1627 Hilltop Dr Ste a
Redding, CA 96002-0252
Phone (530) 223-2989

Other names 1

  • Affordable Dentures & Implants - Redding Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Dental Implant Center of San Diego3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1699498972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 HILLTOP DR STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020252",
            "telephone_number": "530-223-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 HILLTOP DR STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020252",
            "telephone_number": "530-223-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. DAVID MOODY, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-223-2989",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Redding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.