R.M. Moody,DDS/El Dorado

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

R.M. MOODY,DDS/EL DORADO

Practice address

122 N Taylor St
El Dorado, KS 67042-1839

Phone

(316) 320-3636

Fax

(316) 320-3636

NPI assigned

Aug 17, 2007

Last updated

Aug 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert M Moody, DDS

Title

Owner/Dentist

Phone

(316) 320-3636

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

RM Moodyddsel Dorado2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Robert M Moodydds/ Eureka

  • General Practice Dentistry
  • Eureka, KS
  • NPI 1265624712
  NPD tax ID

Locations

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1902098452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N TAYLOR ST",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670421839",
            "telephone_number": "316-320-3636",
            "fax_number": "316-320-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N TAYLOR ST",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670421839",
            "telephone_number": "316-320-3636",
            "fax_number": "316-320-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.M. MOODY,DDS/EL DORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "316-320-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092550-B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas J Posge, D.P.M.
• Cassandra Irene Pound
• Tera Price
• Debra Prim
• Tyson Blake Prouse, M.S., T-LMLP
• Aubrey Shea Ralston, M.D.
• Marcus S Randall, OD
• William Spencer Rasband, DDS
• Rausch Medical Clinics, LLC (El Dorado Sports & Family Medicine)
• Suguna V Reddy, MD

• General Practice Dentistry in El Dorado, KS
• Providers in El Dorado, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.