Active NPI
Cody Troyer Moore, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Waxahachie, TX
National Provider Identifier
1366675662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0023440
- Practice address
- 1320 Ferris Ave
Waxahachie, TX 75165-1862 - Phone
- (972) 937-0424
- Fax
- (972) 937-0484
- NPI assigned
- Sep 2, 2009
- Last updated
- Sep 2, 2009
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0023440 | TX | Primary |
Addresses
Primary practice location
1320 Ferris Ave
Waxahachie, TX 75165-1862
Mailing address
1320 Ferris Ave
Waxahachie, TX 75165-1862
Phone (972) 937-0424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0023440 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore & Bodine Orthodontics, PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
1320 Ferris Ave
Waxahachie, TX 75165
Phone (972) 937-0424
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Moor & Bodine Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Waxahachie, TX
- NPI 1164038345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1366675662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 FERRIS AVE",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751651862",
"telephone_number": "972-937-0424",
"fax_number": "972-937-0484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 FERRIS AVE",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751651862",
"telephone_number": "972-937-0424",
"fax_number": "972-937-0484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CODY",
"middle_name": "TROYER",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "0023440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxahachie, TX
- Achal Pankaj Modi, MD
- Montica a. O'Barr (Ready To Change Counseling)
- April Watkins Moody, LPC
- Moore & Bodine Orthodontics, PLLC (Moor & Bodine Orthodontics)
- Dekeisha Moore-Barrett, LCSW
- Erin Sheigh Moore, LSA
- Imagine Myjoy Moore, LPC-ASSOCIATE
- Michele Denise Moore, LCSW-S
- Martha Elaine Moran, FNP-C
- David Byron Morehead, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.