Megan Moody, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8080 Issued in SC

Practice address

3901 Edmund Hwy
Suite C
West Columbia, SC 29170-1900

Phone

(803) 755-3953

NPI assigned

Sep 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

State licenses

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1760733562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 MALLET HILL RD",
            "address_2": "APT. 11206",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234471",
            "telephone_number": "706-832-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 EDMUND HWY",
            "address_2": "SUITE C",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291701900",
            "telephone_number": "803-755-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Warren Monk, M.D.
• John Lowell Montgomery, MD
• Meredith Sharpe Montgomery, WHNP
• Joseph F Monti, CRNA
• Krista Y Moody, CRNA
• Brittney Tatiana Moore
• Jessica Moore, LPC
• Norman Blake Moore Jr., CRNA
• Ryan Moore
• Thomas George Moore Jr., CRNA

• General Practice Dentistry in West Columbia, SC
• Providers in West Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.