Amanda Claire Moberly, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D-00144 Issued in KY

Practice address

104 Legacy Dr
Berea, KY 40403-9594

Phone

(859) 986-2323

NPI assigned

Jun 25, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• KY PPO C-SNP
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Interoperability endpoints

• Direct secure messaging: amanda.moberlydmd.p1@direct.hsohio.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthsource of Ohio Inc

  • Community/Retail Pharmacy
  • Mt. Orab, OH
  • NPI 1235379819
  NPD
• Healthsource of Ohio Inc

  • Community/Retail Pharmacy
  • Seaman, OH
  • NPI 1376612119
  NPD
• Healthsource of Ohio Inc

  • Community/Retail Pharmacy
  • Batavia, OH
  • NPI 1891009502
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • New Richmond, OH
  • NPI 1184728230
  NPD
• Healthsource of Ohio, Inc.

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
  • NPI 1275966863
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Hillsboro, OH
  • NPI 1326142480
  NPD
• Healthsource of Ohio, Inc.

  • Clinic/Center
  • Lebanon, OH
  • NPI 1407288210
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Mount Orab, OH
  • NPI 1437253598
  NPD
• Healthsource of Ohio, Inc.

  • Clinic/Center
  • Blanchester, OH
  • NPI 1528826351
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Georgetown, OH
  • NPI 1700980869
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1780701417
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Washington Court House, OH
  • NPI 1861502452
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1003650862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HIGHLAND PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753839",
            "telephone_number": "859-626-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LEGACY DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039594",
            "telephone_number": "859-986-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBERLY",
        "first_name": "AMANDA",
        "middle_name": "CLAIRE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "D-00144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Parsons, LLC Dba Community Guides of Kentucky
• Angela Spencer Merritt
• Haley Douglas Kidd Middleton, OTR/L
• Anthony Miller
• Elizabeth Rae Miller, MA, LPCC
• Joseph Moceus, L.AC
• Joan M Moore, ARNP
• Kristin Morgan, APRN
• Michael Morris
• Mother Well Doula Service, LLC

• Dentist in Berea, KY
• Providers in Berea, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.