Carolyn S Moody, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5693 Issued in KY

Practice address

303 S 4TH St
Suite 200
Danville, KY 40422-2004

Phone

(859) 236-8448

Fax

(859) 239-8909

NPI assigned

Dec 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1093799819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S 4TH ST",
            "address_2": "SUITE 200",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222004",
            "telephone_number": "859-236-8448",
            "fax_number": "859-239-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S 4TH ST",
            "address_2": "SUITE 200",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222004",
            "telephone_number": "859-236-8448",
            "fax_number": "859-239-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "CAROLYN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5693",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "5693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45601101",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60056934",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Minix, DO
• Rodney Lee Mirich, M.D.
• Sandra Mojesky
• David O Montgomery, M.D.
• Eldridge Montgomery, MD
• Lori Denise Moody, LPCA
• Lois T Moore
• Daniel Moran, M.D.
• Jacob David Morgan, MD
• Toni Morrow

• Pediatric Dentistry in Danville, KY
• Providers in Danville, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.