Deana Lane Moody, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11572 Issued in MD

Practice address

4255 Altamont PL
Suite 204
White Plains, MD 20695-3023

Phone

(240) 349-2158

Fax

(240) 349-2158

NPI assigned

Sep 29, 2011

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1124302930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 ALTAMONT PL",
            "address_2": "SUITE 204",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953023",
            "telephone_number": "240-349-2158",
            "fax_number": "240-349-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 ALTAMONT PL",
            "address_2": "SUITE 204",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953023",
            "telephone_number": "240-349-2158",
            "fax_number": "240-349-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "DEANA",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in White Plains, MD
• Providers in White Plains, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.