J. Donald Moorhead, DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

12276 Issued in OH

Legal business name

J. DONALD MOORHEAD, DDS INC.

Practice address

2456 W Boston Rd
Broadview HTS, OH 44147-3263

Phone

(330) 659-9739

Fax

(330) 659-2456

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Donald Moorhead, DDS

Title

President

Phone

(330) 659-9739

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1992853345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 W BOSTON RD",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441473263",
            "telephone_number": "330-659-9739",
            "fax_number": "330-659-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 W BOSTON RD",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441473263",
            "telephone_number": "330-659-9739",
            "fax_number": "330-659-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. DONALD MOORHEAD, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "MOORHEAD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-659-9739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "12276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.