MR. ROBERT MICHAEL MOODY (NPI# 1598767345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598767345 |
| Entity Type | Individual |
| Full Name | MR. ROBERT MICHAEL MOODY |
| Credential | D.D.S |
| Practice Address |
302 W 3rd St Eureka KS 67045-1404 |
| Practice Telephone | 6205837489 |
| Practice Fax Number | 6205837489 |
| Mailing Telephone | 6205837489 |
| Mailing Fax Number | 6205837489 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5279 | KS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100092550-A | 05 | |
| KS | 05983 | BCBS | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093813412 | Robert E Moody | Dentist | 538 Main St, Half Moon Bay, CA 94019-1922 | 2006-09-20 |
| 1366464604 | Robert Benjamin Moody IIi | Pharmacist | 380 Hospital Dr Ste 175-a, Macon, GA 31217-8001 | 2006-07-24 |
| 1679918650 | Robert Moody | Counselor | 52 W Pleasant St, Claremont, NH 03743-3055 | 2013-05-06 |
| 1912252172 | Robert Allen Moody II | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2012-07-13 |
| 1790900207 | Robert Patrick Moody | Psychologist | 303 Downey Ave, Modesto, CA 95354-1203 | 2007-04-17 |
| 1326054446 | Robert Moody | Physician Assistant | 99 Doctors Dr, Suite 700, Munford, TN 38058 | 2006-07-31 |
| Street Address |
302 W 3RD ST |
| City | EUREKA |
| State | KS |
| Zip Code | 67045-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265624712 | Robert M Moodydds/ Eureka | Dentist | 302 W 3rd St, Eureka, KS 67045-1404 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316368194 | Martha Heffron | Behavioral Analyst | 1313 E 50 Road, Eureka, KS 67045 | 2013-12-23 |
| 1750687216 | Greenwood County Hospital | General Acute Care Hospital | 105 W 16th St, Eureka, KS 67045 | 2011-02-01 |
| 1972000453 | Christopher Michael Miller | Dentist | 1602 N Elm St, Eureka, KS 67045 | 2018-04-10 |
| 1629044961 | Greenwood County Hospital | Emergency Medicine | 100 West 16th St., Eureka, KS 67045-1047 | 2006-02-27 |
| 1861695835 | Greenwood County Hospital | Family Medicine | 100 West 16th St., Eureka, KS 67045-1047 | 2007-06-07 |
| 1215045299 | Greenwood County Hospital | Clinic/Center | 100 West 16th St., Eureka, KS 67045-1047 | 2006-08-29 |
| 1275531485 | Greenwood County Hospital | Home Health | 100 W 16th St, Eureka, KS 67045-1064 | 2005-07-12 |
| 1417462151 | Andrea Dawn Wise | Nurse Practitioner | 100 W 16th St, Eureka, KS 67045-1064 | 2017-12-04 |
| 1558728048 | Anesthesia and Pain Management Consultants | Nurse Anesthetist, Certified Registered | 100 W 16th St, Eureka, KS 67045-1064 | 2016-01-28 |
| 1629215736 | Deena K Lighty | Occupational Therapy Assistant | 100 W 16th St, Eureka, KS 67045-1064 | 2009-01-12 |
| Find all providers in zip 67045 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720360209 | Jeffery Holland | Dentist | 2332 Harrison Ave Ste E, Eureka, CA 95501-3235 | 2011-09-12 |
| 1770895765 | John M. Carrels | Dentist | 708 G Ave, Eureka, SD 57437 | 2010-07-08 |
| 1720248537 | Ronald C Ruchong | Dentist | 604 Harris Street, Eureka, CA 95503-4448 | 2008-06-16 |
| 1952592321 | Brian James Smith | Dentist | 831 Harris Street, Eureka, CA 95503 | 2007-08-09 |
| 1689885261 | Mohd Awwad,dds, Inc | Dentist | 3144 Broadway St, Suite C1, Eureka, CA 95501-3838 | 2007-05-24 |
| 1164643367 | Eric Daniels Dds | Dentist | 1275 Highway 93 North, Eureka, MT 59917-0718 | 2007-05-02 |
| 1881815686 | Timothy Mark Pentecost | Dentist | 2453 Buhne St, Eureka, CA 95501-3206 | 2007-05-01 |
| 1558582379 | Troy L Baker Jr. | Dentist | 208 N Central Ave Ste A, Eureka, MO 63025-1824 | 2007-05-01 |
| 1851411367 | Premiere Maxillofacial Surgeons, Inc. | Dentist | 3132 Harrison Ave, Eureka, CA 95503-5638 | 2007-03-29 |
| 1336273309 | Felines Hornilla Tipton | Dentist | 805 Harris St, Eureka, CA 95503-4541 | 2007-03-14 |
| Find all providers in EUREKA | ||||
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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.