DR. JUSTIN D. MOODY (NPI# 1720396484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720396484 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN D. MOODY |
| Credential | DDS |
| Practice Address |
705 1st St Box 488 Crawford NE 69339-1186 |
| Mailing Address |
705 1st St Po Box 488 Crawford NE 69339-1186 |
| Practice Telephone | 3086652025 |
| Practice Fax Number | 3086651506 |
| Mailing Telephone | 3086652025 |
| Mailing Fax Number | 3086651506 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2011-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6124 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026079300 | 05 | |
| NE | 10026079200 | 05 | |
| NE | 10026079400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316438310 | Justin Moody | Dentist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2018-05-24 |
| 1194115816 | Justin Moody | Specialist/Technologist | 560 Devall Dr, Auburn, AL 36832-5813 | 2015-02-02 |
| 1376804187 | Justin D Moody | Family Medicine | 1325 Spring St, Greenwood, SC 29646-3860 | 2012-06-07 |
| 1639370489 | Justin Dean Moody | Emergency Medicine | 530 Ne Glen Oak Ave, Peoria, IL 61603-3133 | 2007-05-30 |
| Street Address |
705 1ST ST BOX 488 |
| City | CRAWFORD |
| State | NE |
| Zip Code | 69339-1186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952893786 | Megan Michelle Eitemiller | Dentist | 705 1st St, Crawford, NE 69339-1186 | 2018-06-06 |
| 1629459532 | Danial Joel Hanlon | Dentist | 705 1st St, Crawford, NE 69339-1186 | 2015-06-16 |
| 1821334061 | Horizon West Dental | Dentist | 705 1st St, Box 488, Crawford, NE 69339-1186 | 2012-12-17 |
| 1194011015 | Kaylene Ann Harms | Dentist | 705 1st St, Crawford, NE 69339-1186 | 2011-06-20 |
| 1306167408 | Mark Griffiths | Dentist | 705 1st St, Crawford, NE 69339-1186 | 2010-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902860190 | City of Crawford | Skilled Nursing Facility | 1st & Paddock, Crawford, NE 69339 | 2006-04-14 |
| 1346317757 | Justin Moody PC | Dentist | 705 First Street, Crawford, NE 69339-0488 | 2006-11-29 |
| 1518184555 | Gay C Gilmore | General Practice | 211 E. Belmont Rd., Crawford, NE 69339-0523 | 2007-04-19 |
| 1952467110 | Edward Allen Metz | Family Medicine | 211 E. Delmont Rd, Crawford, NE 69339-0523 | 2006-12-29 |
| 1659335362 | City of Crawford | Ambulance | 220 Elm St, Crawford, NE 69339-1004 | 2006-04-12 |
| 1245852185 | Service Drugs, Inc. | Pharmacy | 202 Main St., Crawford, NE 69339-1026 | 2020-05-14 |
| 1407859838 | Warren Pharmacy | Pharmacy | 312 2nd St, Crawford, NE 69339-1052 | 2005-05-31 |
| 1669663134 | Crawford Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 312 2nd St, Crawford, NE 69339-1052 | 2007-08-08 |
| 1922269828 | Chadron Community Hospital Corp. | Clinic/Center | 11 Paddock St, Crawford, NE 69339-1143 | 2008-06-23 |
| 1922033273 | City of Crawford | Skilled Nursing Facility | 1 Paddock St, Crawford, NE 69339-1143 | 2006-07-12 |
| Find all providers in zip 69339 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346317757 | Justin Moody PC | Dentist | 705 First Street, Crawford, NE 69339-0488 | 2006-11-29 |
| 1952893786 | Megan Michelle Eitemiller | Dentist | 705 1st St, Crawford, NE 69339-1186 | 2018-06-06 |
| 1629459532 | Danial Joel Hanlon | Dentist | 705 1st St, Crawford, NE 69339-1186 | 2015-06-16 |
| 1821334061 | Horizon West Dental | Dentist | 705 1st St, Box 488, Crawford, NE 69339-1186 | 2012-12-17 |
| 1194011015 | Kaylene Ann Harms | Dentist | 705 1st St, Crawford, NE 69339-1186 | 2011-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086252 | Chancy Hanquist | Dentist | 1830 E Condon Ave, Aurora, NE 68818-3135 | 2020-09-02 |
| 1821609710 | Chaeli Ford | Dentist | 3672 Lexington Ave, Bellevue, NE 68123-1321 | 2020-08-13 |
| 1639797194 | Jared Matthew Homan | Dentist | 11840 Nicholas St Ste 210, Omaha, NE 68154-4475 | 2020-07-10 |
| 1265050140 | Brittany Ann Albers | Dentist | 3600 W Norfolk Ave, Norfolk, NE 68701-7702 | 2020-07-08 |
| 1063038255 | Brock Bernard Lewis | Dentist | 1904 South St Ste 103, Blair, NE 68008-1964 | 2020-06-23 |
| 1114563970 | Corinne Marie Van Osdel | Dentist | 4400 Emile St # 3602, Omaha, NE 68198-0600 | 2019-11-26 |
| 1285278028 | Omaha Periodontics and Implant Dentistry LLC | Dentist | 624 N 129th St Ste 200, Omaha, NE 68154-6110 | 2019-11-05 |
| 1508427626 | Ehsan Mostaghni | Dentist | 4000 E Campus Loop S Dept Of, Lincoln, NE 68583-1530 | 2019-06-28 |
| 1972162493 | Luke Riley Bessmer | Dentist | 8910 Indian Hills Dr Ste 200, Omaha, NE 68114-4127 | 2019-06-08 |
| 1023676582 | Sarah C Schroeder | Dentist | 610 Main St Ste A, Adams, NE 68301-7793 | 2019-05-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.