DAVID MOODY DENTAL CORPORATION (NPI# 1871192484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871192484 |
| Entity Type | Organization |
| Organization Name | DAVID MOODY DENTAL CORPORATION |
| Practice Address |
19737 W Valley Blvd Tehachapi CA 93561-8601 |
| Practice Telephone | 6618237644 |
| Practice Fax Number | 6618238561 |
| Mailing Telephone | 6618237644 |
| Mailing Fax Number | 6618238561 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | MR. DAVID GALE MOODY (OWNER/ DENTIST) |
| Authorized Official Telephone | 6618237644 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Peachy Dental | Doing Business As Name - Organization |
| Street Address |
19737 W VALLEY BLVD |
| City | TEHACHAPI |
| State | CA |
| Zip Code | 93561-8601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063638153 | Daniel D Heer | Dentist | 19737 W Valley Blvd, Tehachapi, CA 93561-8601 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353795 | Charles David Arcaro | Counselor | 20242 W Valley Blvd, Ste E, Tehachapi, CA 93561 | 2020-07-10 |
| 1063042422 | Behavior Education Analysis & Research LLC | Behavioral Analyst | 26300 Chester Ct., Tehachapi, CA 93561 | 2020-01-24 |
| 1821628637 | Healing Connections: Child and Family Therapy, Inc. | Marriage & Family Therapist | 20601 Highway 202, Unit A104, Tehachapi, CA 93561 | 2020-01-21 |
| 1245798503 | Alanamarie Pearsall | Chiropractor | 20406 Brian Way, Std 4d, Tehachapi, CA 93561 | 2019-03-06 |
| 1205329430 | Stephanie Edman | Acupuncturist | 276 S. Mill St. Suite A, Tehachapi, CA 93561 | 2018-06-12 |
| 1487010476 | Cassaundra Jo Lynch | Pharmacist | 24900 Ca-202, Tehachapi, CA 93561 | 2016-01-07 |
| 1407222888 | Erin E Grillo | Physical Therapist | 815 Tucker Rd Ste C, Tehachapi, CA 93561 | 2015-08-19 |
| 1447634258 | Jennifer Diaz | Licensed Vocational Nurse | 113 E F Street, Tehachapi, CA 93561 | 2015-07-13 |
| 1497138408 | Scott Long | Specialist/Technologist | 28400 Stallion Springs, Tehachapi, CA 93561 | 2015-07-08 |
| 1780064154 | Juan Medina | Student in an Organized Health Care Education/Training Program | 113 East F Street, Tehachapi, CA 93561 | 2015-06-01 |
| Find all providers in zip 93561 | ||||
| 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 |
|---|---|---|---|---|
| 1760666937 | John Matthews | Dentist | End of Hwy 202, Tehachapi, CA 93581 | 2007-12-24 |
| 1497939672 | Kenneth Dale Chaffee | Dentist | 24900 End of Hwy 202, Tehachapi, CA 93561-0000 | 2007-12-24 |
| 1801079850 | Dale Akira Nakayama | Dentist | 1031 Pobox, End of Hwy 202, Tehachapi, CA 93581-1031 | 2007-12-13 |
| 1518171537 | Dedicated Dental Systems Inc | Dentist | 20300 W Valley Blvd, Ste A, Tehachapi, CA 93561-8609 | 2007-05-09 |
| 1568685576 | Ryan Kerr | Dentist | 709 W Valley Blvd Ste A, Tehachapi, CA 93561-2119 | 2007-04-10 |
| 1427110931 | Randall Bruce Kam | Dentist | 102 E F St, Tehachapi, CA 93561-1711 | 2006-12-14 |
| 1235216250 | Michael Barrett Jones | Dentist | 20406 Brian Way Ste 2, Tehachapi, CA 93561-8781 | 2006-11-01 |
| 1154417897 | Rick Dale Wells | Dentist | 20878 Sage Ln, Tehachapi, CA 93561-6423 | 2006-10-04 |
| 1770196024 | Kevin Tan Bibera | Dentist | 20406 Brian Way # 2, Tehachapi, CA 93561-8781 | 2020-08-26 |
| 1518100379 | Jose David Sanchez | Dentist | 20370 W Valley Blvd, Tehachapi, CA 93561-8615 | 2009-04-09 |
| Find all providers in TEHACHAPI | ||||
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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.