Moody Family Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DS024507L Issued in PA

Legal business name

MOODY FAMILY DENTAL, LLC

Practice address

10 E School House Lane
Philadelphia, PA 19144

Phone

(215) 848-6446

Fax

(215) 848-7202

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Iris L Lewis Moody, D.D.S.NPI 1689874869

Title

Dentist

Phone

(215) 848-6446

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Iris L Lewis-Moody, D.D.S.

  • Dentist
  • Philadelphia, PA
  • NPI 1689874869
  NPD (past) Authorized official
• Ernest W Moody Jr., D.D.S.

  • Dentist
  • Philadelphia, PA
  • NPI 1821257247
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1487710190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E SCHOOL HOUSE LANE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19144",
            "telephone_number": "215-848-6446",
            "fax_number": "215-848-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E SCHOOL HOUSE LANE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19144",
            "telephone_number": "215-848-6446",
            "fax_number": "215-848-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOODY FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS MOODY",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-848-6446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS024507L",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS23581L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monumental Post Acute Care at Home LLC
• Jyothi Mony, PA-C
• Nasser Monzer, MB, BCH, BAO
• Daniel Monzo
• Pekka A Mooar, MD
• Arika Lynnette Moody, M.A., LMFT
• Constance Moody
• Daphne Monique Moody, RN
• Ernest W Moody Jr., D.D.S.
• Khaliah Saleem Moody

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.