Matthew E Moudy, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3470 Issued in AR

Practice address

4701 Fairway Ave Ste C
North Little Rock, AR 72116-8069

Phone

(501) 508-8101

Fax

(888) 278-6461

NPI assigned

Jan 3, 2007

Last updated

Feb 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Matthe E. Moudy DDS PA

  • General Practice Dentistry
  • Cabot, AR
  • NPI 1841814381
  NPD Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1750448114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 FAIRWAY AVE STE C",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168069",
            "telephone_number": "501-508-8101",
            "fax_number": "888-278-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 FAIRWAY AVE STE C",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168069",
            "telephone_number": "501-508-8101",
            "fax_number": "888-278-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUDY",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158956608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Michelle Mosby
• Erica D Moseby, PH.D.
• Tori L Moses
• Mercedes Nicole Most
• Mayesha Nawar Mostafa, MD
• Mounts Dental Care
• MRI Central Little Rock Inc (MRI Central Little Rock)
• Hailey Mueller
• Megan N Mueller, M.D.
• Ruqaya B Mujahid

• Dentist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.