Individual provider Active NPI

Lynn Johnston Moorhouse, DDS

  • Dentist
  • West Palm Beach, FL
National Provider Identifier
1841436086
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5833 Issued in FL
Practice address
3472 Forest Hill Blvd
2D
West Palm Beach, FL 33406-5864
Phone
(561) 429-2196
NPI assigned
Dec 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5833 FL Primary

Addresses

Primary practice location

3472 Forest Hill Blvd
2D
West Palm Beach, FL 33406-5864

Mailing address

3472 Forest Hill Blvd
2D
West Palm Beach, FL 33406-5864
Phone (561) 429-2196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929001379 FL Order and Referring Only - DentistPractitioner - Dentist 3173831922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5833FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1841436086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD",
            "address_2": "2D",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "561-429-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD",
            "address_2": "2D",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "561-429-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORHOUSE",
        "first_name": "LYNN",
        "middle_name": "JOHNSTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "5833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.