NPIMap

Organization Active NPI

Johnny C. Moreno, MD PA

  • General Practice Physician
  • Artesia, NM
National Provider Identifier
1861421059
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
80-218 Issued in NM
Legal business name
JOHNNY C. MORENO, MD PA
Practice address
606 N 13TH St
Artesia, NM 88210-1165
Phone
(575) 748-1266
Fax
(575) 748-8822
NPI assigned
Jul 1, 2006
Last updated
Oct 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Johnny C. Moreno, M.D.NPI 1871591701
Title
President
Phone
(575) 748-1266

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 Physician 208D00000X 80-218 NM Primary

Addresses

Primary practice location

606 N 13TH St
Artesia, NM 88210-1165

Mailing address

PO Box 1410
Artesia, NM 88211-1410
Phone (575) 748-1266

National Provider Directory

National Provider Directory

Locations

612 N 13th St
Ste H
Artesia, NM 88210
Phone (505) 748-1266

Practitioners & affiliated clinicians

Practitioners 6

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1861421059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882111410",
            "telephone_number": "575-748-1266",
            "fax_number": "575-748-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N 13TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101165",
            "telephone_number": "575-748-1266",
            "fax_number": "575-748-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY C. MORENO, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-748-1266",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "80-218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.