Active NPI
Jeffery Orland Moyer, D.M.D
- Dentist
- Lamar, MO
National Provider Identifier
1205833159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13806
- Practice address
- 805 Broadway St
Lamar, MO 64759-1224 - Phone
- (417) 682-5871
- Fax
- (417) 682-6791
- NPI assigned
- Jul 7, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13806 | MO | Primary |
Addresses
Primary practice location
805 Broadway St
Lamar, MO 64759-1224
Mailing address
805 Broadway St
Lamar, MO 64759-1224
Phone (417) 682-5871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160405000671 | MO | Order and Referring Only - Dentist | 0042517195 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13806 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1205833159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 BROADWAY ST",
"city": "LAMAR",
"state": "MO",
"postal_code": "647591224",
"telephone_number": "417-682-5871",
"fax_number": "417-682-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 BROADWAY ST",
"city": "LAMAR",
"state": "MO",
"postal_code": "647591224",
"telephone_number": "417-682-5871",
"fax_number": "417-682-6791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "JEFFERY",
"middle_name": "ORLAND",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "13806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lamar, MO
- Cary C.R. Marquis, M.D.
- Erin Mayfield, OD
- Meek Made It LLC
- Lizabeth Mooney
- Jenny Morgan, DPT
- Eden Christine Ogden, RN
- Ozark Tri-County Health Care Consortium (ACCESS Family Care)
- Ozark Tri-County Health Care Consortium (Access Family Care)
- Ozark Tri-County Health Care Consortium (Access Family Care)
- Jimmy Wayne Pyron, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.