DR. BRENT WARREN MOODY (NPI# 1164410551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164410551 |
| Entity Type | Individual |
| Full Name | DR. BRENT WARREN MOODY |
| Credential | D.D.S. |
| Practice Address |
4320 Mcauley Blvd Oklahoma City OK 73120-8364 |
| Practice Telephone | 4057558020 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5120 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457448599 | Brent Moody | Dermatology | 1900 Patterson St Ste 201, Nashville, TN 37203 | 2006-10-09 |
| Street Address |
4320 MCAULEY BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306331194 | Eagle Creek Family Dentistry Pllc | Clinic/Center | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 | 2018-06-25 |
| 1104336494 | Jennifer Lynne Walker | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 | 2017-10-02 |
| 1831473743 | Dynamic Dentisty, Pllc | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 | 2011-10-11 |
| 1720375223 | Jeremy Clark Goodson | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120 | 2011-07-05 |
| 1235375148 | Vernon Matthew Heim | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 | 2008-12-23 |
| 1225202138 | Brent W. Moody D.d.s., PC | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 | 2008-04-22 |
| 1255516035 | Robert B. Bryan II, Dds, Pllc | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 | 2007-12-29 |
| 1851466379 | Robert Bruce Bryan II | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8364 | 2006-11-21 |
| 1811094824 | Neil Morgan Glass | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8364 | 2006-09-20 |
| 1922040237 | Daniel Steven Scheer | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8364 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932684297 | Jemima Poitevien, D.d.s., P.l.l.c. | Dentist | 4225 W Memorial Rd Ste 101-b, Oklahoma City, OK 73134-1761 | 2018-10-02 |
| 1093062911 | Pediatric Dental Partners Pllc | Dentist | 5940 Nw Expressway Ste 200, Oklahoma City, OK 73132-5101 | 2012-08-09 |
| 1508023383 | Thai-an Doan D.d.s. P.C. | Dentist | 11318 N May Ave, Suite B, Oklahoma City, OK 73120-5860 | 2008-05-20 |
| 1619162054 | Robert Brian Molloy | Dentist | 9801 S Pennsylvania Ave, Oklahoma City, OK 73159-6925 | 2007-09-10 |
| 1467574004 | Smiling Faces Pediatric Dentistry Inc | Dentist | 5222 N. Portland, Oklahoma City, OK 73112 | 2007-04-04 |
| 1760521934 | Elizabeth Kellner | Dentist | 828 Sw 66th St, Oklahoma City, OK 73139-4213 | 2007-02-05 |
| 1194828558 | Thai-an Doan | Dentist | 14228 Barbour Ave, Oklahoma City, OK 73134 | 2006-09-07 |
| 1780618330 | Andrew Cleveland Guthrie | Dentist | 3616 Nw 50th St, Oklahoma City, OK 73112-5642 | 2006-07-10 |
| 1558318493 | Donald Wood Haskins | Dentist | 5222 N Portland Ave, Oklahoma City, OR 73112 | 2006-05-27 |
| 1720063225 | William G Bozalis | Dentist | 3613 Nw 56th, Suite 105 Three Corporate Plaza, Oklahoma City, OK 73112 | 2005-12-07 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on DR. BRENT WARREN MOODY.
| 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.