DR. MICHAEL DERRICK MOODY


Address: 9990 W 26th Ave, Suite 100, Lakewood, CO 80215-1581
Phone: 3032324422

DR. MICHAEL DERRICK MOODY (NPI# 1033204094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033204094
Entity Type Individual
Full Name DR. MICHAEL DERRICK MOODY
Credential DDS
Practice Address 9990 W 26th Ave
Suite 100
Lakewood
CO 80215-1581
Practice Telephone 3032324422
Practice Fax Number 3032328795
Mailing Telephone 3032324422
Mailing Fax Number 3032328795
Enumeration Date 2006-10-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204E00000X Oral & Maxillofacial Surgery 9166 CO Allopathic & Osteopathic Physicians

Other Providers MICHAEL MOODY

NPI Name Taxonomy Address Enumeration
1760739825 Michael S Moody Dentist 6200 N Durango Dr Ste 100, Las Vegas, NV 89149 2012-08-08
1952466583 Michael Shannon Moody Family Medicine 8464 Adair Sreet, Douglasville, GA 30134-1877 2006-12-26
1649652538 Michael Moody Pharmacist 2301 Holmes St, Kansas City, MO 64108-2640 2015-06-26
1871890368 Michael D Moody Nurse Anesthetist, Certified Registered 1444 Peterman Dr, Alexandria, LA 71301-3432 2011-02-17
1437180783 Michael Anthony Moody Pediatrics 4101 N Roxboro St, Durham, NC 27704-2121 2006-07-05
1063489821 Michael N Moody General Practice 507 N Main St, Salem, AR 72576-9449 2006-03-01

Office Location

Street Address 9990 W 26TH AVE
SUITE 100
City LAKEWOOD
State CO
Zip Code 80215-1581

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649715897 Smile Three Professionals Dentist 9990 W 26th Ave, Garden Level, Lakewood, CO 80215-1581 2016-12-27
1275924425 Pedo Lakewood LLC Dentist 9990 W 26th Ave, Lakewood, CO 80215-1581 2015-02-10
1063646685 Comfort Dental Wheatridge Dentist 9990 W 26th Ave, Lakewood, CO 80215-1581 2009-05-11
1275767303 Smile Three Professionals Dentist 9990 W 26th Ave, Garden Level, Lakewood, CO 80215-1581 2009-05-04
1114166865 Pedo Two, Prof. LLC Dentist 9990 W 26th Ave, Lakewood, CO 80215-1581 2009-02-19
1205059136 Lorraine Alberico Loustalet Dentist 9990 W 26th Ave, Lakewood, CO 80215-1581 2007-04-10
1265500086 Comfort Dental Wheatridge Dentist 9990 W 26th Ave, Suite 100, Lakewood, CO 80215 2006-12-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679199566 Alta Vista Center for Autism Speech-Language Pathologist 2001 Hoyt Street, Lakewood, CO 80215 2020-06-17
1871154419 Ahc of Lakewood, LLC Skilled Nursing Facility 1565 Pierson Street, Lakewood, CO 80215 2019-06-25
1235646209 Ashley Wiersma Social Worker 9485 W. Colfax Ave, Lakewood, CO 80215 2017-12-29
1619480563 Amy Christine Ladebue Counselor 2596 Moore St, Lakewood, CO 80215 2017-11-14
1407374408 Carly Young Physician Assistant 11171 W 17th Ave, Apt 303, Lakewood, CO 80215 2017-08-30
1356876700 Our Family Care Home Assisted Living LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1169 Johnson Street, Lakewood, CO 80215 2017-04-24
1194263251 Daniela Rosenberg Student in an Organized Health Care Education/Training Program 9845 W. Colfax Avenue, Jefferson Center for Mental Health, Lakewood, CO 80215 2017-02-08
1033596747 Autumn Grove Physical Therapist 11185 W. 6th Avenue, Lakewood, CO 80215 2015-05-01
1649690264 Neil George Norton Dentist 9990 W. 26th Ave, Lakewood, CO 80215 2014-04-22
1366873820 Whitney Anne Post Counselor 1439 Estes St., Lakewood, CO 80215 2013-12-10
Find all providers in zip 80215

Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275831208 Kamran Dastoury Oral & Maxillofacial Surgery 2290 Kipling St Unit 2, Lakewood, CO 80215-1546 2011-02-28
1740494467 Norman Philip Payea II Oral & Maxillofacial Surgery 8805 West Fourteenth Avenue, Suite 316 Lakewood Medical Center, Lakewood, CO 80215-4848 2007-05-10
1245392414 Oral Surgeon Associates Oral & Maxillofacial Surgery 400 Madison Ave, Lakewood, NJ 08701-3214 2006-12-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588271126 Saddle Rock Oral and Facial Reconstructive Surgery Pllc Oral & Maxillofacial Surgery 7380 S. Gartrell Rd, Aurora, CO 80016 2020-09-28
1689916611 Ben Adam Charles Bailey Oral & Maxillofacial Surgery 3691 Parker Blvd Ste 200, Pueblo, CO 81008-2278 2013-03-16
1952677973 Colorado Surgical Arts Oral & Maxillofacial Surgery 2900 S. Peoria Street, Unit D, Aurora, CO 80014 2012-03-23
1215190145 Michael S Kunkel Oral & Maxillofacial Surgery 3475 Briargate Blvd, Suite 102, Colorado Springs, CO 80920 2008-07-10
1902931835 Steven F. Reck, Dds, PC Oral & Maxillofacial Surgery 1201 Paseo Del Norte, Pueblo, CO 81008-2611 2007-02-22
1548342629 Barry S Keogh Oral & Maxillofacial Surgery 14991 E Hampden Ave #260, Aurora, CO 80014 2006-10-19
1629085196 Glenn Eric Herrmann Oral & Maxillofacial Surgery 130 Old Laramie Trl E Bldg 4, Lafayette, CO 80026-7014 2006-08-01
1942292982 James Michael Mulkey Oral & Maxillofacial Surgery 375 E Park Ave, Suite 301, Durango, CO 81301-5012 2005-08-16
1063900231 Colorado Maxillofacial and Oral Surgeons Oral & Maxillofacial Surgery 4105 Briargate Pkwy Ste 240, Colorado Springs, CO 80920-7844 2018-04-24
1700388592 Dental Management Group LLC Oral & Maxillofacial Surgery 11246 E Mississippi Ave, Aurora, CO 80012-3202 2018-03-07
Find all providers with the same taxonomy

Competitor

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City LAKEWOOD
Zip Code 80215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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