Organization Active NPI

Moriarty Dental Group, PLC

  • General Practice Dentistry
  • Webster City, IA
National Provider Identifier
1710060884
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7424 Issued in IA
Legal business name
MORIARTY DENTAL GROUP, PLC
Practice address
803 Ohio St
Webster City, IA 50595-2850
Phone
(515) 832-3034
Fax
(515) 832-5096
NPI assigned
Oct 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leo Edward Moriarty, DDSNPI 1538242615
Title
Member
Phone
(515) 832-3034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7424 IA Primary

Addresses

Primary practice location

803 Ohio St
Webster City, IA 50595-2850

Mailing address

803 Ohio St
Webster City, IA 50595-2850
Phone (515) 832-3034

Other identifiers 1

IdentifierTypeStateIssuer
1065797MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710060884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 OHIO ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952850",
            "telephone_number": "515-832-3034",
            "fax_number": "515-832-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 OHIO ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952850",
            "telephone_number": "515-832-3034",
            "fax_number": "515-832-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORIARTY DENTAL GROUP, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "515-832-3034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1065797",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.