Organization Active NPI

Hill and Moudy Family Dentistry, PLLC

  • General Practice Dentistry
  • Cabot, AR
National Provider Identifier
1861784548
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HILL AND MOUDY FAMILY DENTISTRY, PLLC
Practice address
12 Marlou Dr
Cabot, AR 72023-3693
Phone
(501) 628-5555
Fax
(501) 628-5556
NPI assigned
May 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Dr. Matthew Moudy
Title
Dentist
Phone
(501) 628-5555

Specialties & licenses 1

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

Addresses

Primary practice location

12 Marlou Dr
Cabot, AR 72023-3693

Mailing address

12 Marlou Dr
Cabot, AR 72023-3693
Phone (501) 628-5555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1861784548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MARLOU DR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233693",
            "telephone_number": "501-628-5555",
            "fax_number": "501-628-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MARLOU DR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233693",
            "telephone_number": "501-628-5555",
            "fax_number": "501-628-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL AND MOUDY FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "MOUDY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-628-5555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.