Brian P. Moody, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010023 Issued in WA

Legal business name

BRIAN P. MOODY, DDS, PLLC

Practice address

4055 21St Ave W
Suite 101
Seattle, WA 98199-1247

Phone

(206) 285-1338

Fax

(206) 285-4665

NPI assigned

Jun 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brian P Moody, DDS

Title

Dentist

Phone

(206) 285-1338

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrice Mary Yoder, DDS

  • Dentist
  • Lacey, WA
  • NPI 1033233549

  General Practice

  NPD (past)

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1023329620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 21ST AVE W",
            "address_2": "SUITE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991247",
            "telephone_number": "206-285-1338",
            "fax_number": "206-285-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 21ST AVE W",
            "address_2": "SUITE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991247",
            "telephone_number": "206-285-1338",
            "fax_number": "206-285-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN P. MOODY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-285-1338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Elizabeth Brezynski
• Bria LLC
• Brian Desroches, Inc.
• Brian H. Cheung, DDS, MD, PLLC
• Brian L Grant MD Inc PS
• Brian R Faber DDS PS
• Brianna Cardenas, Physician Assistant, Inc
• Laura Sherman Brice, ARNP
• Loany Fabiola Briceno-Varela, RDH
• Lindsay E Brick, LMP

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.