Individual provider Active NPI

Cody Troyer Moore, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waxahachie, TX
National Provider Identifier
1366675662
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0023440 Issued in TX
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0023440TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Moore & Bodine Orthodontics, PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Sep 27, 2020 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.

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

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.

Verify at the official NPI Registry.