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Deactivated NPI 1871591701 Deactivated / Inactive NPI Male Practitioner

Dr. Johnny C. Moreno , MD

General Practice • Artesia, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Johnny Moreno has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Johnny Moreno, MD was a registered General Practice practicing in Artesia, NM. Throughout an active medical career spanning 1 years, Dr. Moreno provided care at the practice location at 606 N 13TH ST until profile deactivation on 2006-03-17.

Practice Location & Contact Primary Location

Practice Address

606 N 13th St

Artesia, NM 882101165

Telephone 5757481266
Fax 5757488822
Associated Practice Facility / Clinic
🏢 Johnny C. Moreno, Md Pa Facility NPI 1861421059

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Artesia, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 32.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Artesia, NM (115 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NM 80-218

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Alina Duhaney , PA-C

Physician Assistant - Surgical

NPI 1295506285

Physician Assistant (Certified)

Amy Wishard , AGNP

Nurse Practitioner - Acute Care

NPI 1528603602

Adult-Gerontology Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location December 30, 2011

Registered at 606 N 13TH ST, ARTESIA, NM 882101165 (Tel: 5757481266)

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Updated Business Mailing Address December 30, 2011

Registered at 606 N 13TH ST, ARTESIA, NM 882101165 (Tel: 5757481266)

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Provider Name / Credentials Updated December 30, 2011

Recorded as JOHNNY MORENO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2011

General Practice (License #80-218 in NM)

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NPI Profile Reactivated March 29, 2006

Record officially reactivated for active practice on March 29, 2006

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NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

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Initial NPI Registration & Enumeration July 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871591701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2005
Last Update: December 30, 2011
Deactivation Date: March 17, 2006
Sole Proprietor: No

Mailing Address

606 N 13th St

Artesia, NM 882101165

Phone: 5757481266

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.