DR. ELIZABETH A MOODY (NPI# 1558455063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558455063 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH A MOODY |
| Credential | DMD |
| Practice Address |
1556 Country Club Plaza St. Charles MO 63303 |
| Practice Telephone | 6369401555 |
| Practice Fax Number | 6369401222 |
| Mailing Telephone | 6369401555 |
| Mailing Fax Number | 6369401222 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
015751 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942497995 | Elizabeth S Moody | Social Worker | 27 Route 202 S, Far Hills, NJ 07931 | 2007-10-03 |
| 1477637411 | Elizabeth Moody | Occupational Therapist | 5709 Poplin Rd, Indian Trail, NC 28079-6727 | 2006-10-25 |
| 1922343912 | Elizabeth Irene Moody | Case Manager/Care Coordinator | 31 Lake St, Gardner, MA 01440-3879 | 2012-12-03 |
| 1699076521 | Elizabeth Michelle Moody | Psychologist | 44110 Ashburn Shopping Plaza, Ste. 251, Ashburn, VA 20147 | 2010-11-09 |
| 1346304029 | Elizabeth L. Moody | Specialist | 451a Carlisle Dr, Herndon, VA 20170-4819 | 2006-12-20 |
| Street Address |
1556 COUNTRY CLUB PLAZA |
| City | ST. CHARLES |
| State | MO |
| Zip Code | 63303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
| 1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
| Find all providers in zip 63303 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568718690 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1520 South 5th Street, Suite 103, St. Charles, MO 63303 | 2012-07-26 |
| 1639343296 | Gina Marie Savani | Dentist | 525 South Tyler Road, Suite K, St. Charles, IL 60174 | 2008-04-15 |
| 1750503371 | Affordable Dentistry Today, PC | Dentist | 615 South Randall Road, Unit #110, St. Charles, IL 60174-1564 | 2007-05-03 |
| 1669556312 | Robert J Wheeler | Dentist | 2665 West Clay St, St. Charles, MO 63301-2589 | 2006-10-25 |
| 1881789287 | Lawrence John Liesen I | Dentist | 6n182 Sunset Dr., St. Charles, IL 60175 | 2006-10-03 |
| 1467546366 | Jason L Grosch | Dentist | 2408 Highway 94 South, St. Charles, MO 63303 | 2006-10-03 |
| 1518412527 | Alex Sharifian Dds Lindenwood Dentistry, PC | Dentist | 2048 1st Capitol Drive, St. Charles, MO 63301 | 2016-08-19 |
| 1083853287 | Susan E. Litteken, D.d.s., P.C. | Dentist | 928 First Capitol Drive, St. Charles, MO 63301-2734 | 2009-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322990 | Wildhorse Dental Care, LLC | Dentist | 399 Patriotic Trl, Weldon Spring, MO 63304-7936 | 2020-10-05 |
| 1801493762 | Alexander Ahmadi | Dentist | 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 | 2020-10-05 |
| 1184239832 | Adam Wesley Gadbois | Dentist | 220 Diego Dr, Columbia, MO 65203-4919 | 2020-09-10 |
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1538778592 | Maya Grace Habibi | Dentist | 5212 N Service Rd, Saint Peters, MO 63376-3950 | 2020-07-27 |
| 1427667500 | Breakthrough Dental Partners LLC | Dentist | 401 E Mechanic St, Harrisonville, MO 64701-2427 | 2020-07-24 |
| 1396353876 | Michael Rehme Jr. | Dentist | 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 | 2020-07-21 |
| 1790303774 | Wed Khizirpour | Dentist | 1680 Nw Chipman Rd, Lees Summit, MO 64081-3934 | 2020-07-07 |
| 1275150716 | Hills Dentistry LLC | Dentist | 2000 Kentucky Ave Ste C, Platte City, MO 64079-7714 | 2020-07-01 |
| 1134745227 | Kayla White | Dentist | 1401 Forum Blvd Ste 203, Columbia, MO 65203-1915 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | ST. CHARLES |
| Zip Code | 63303 |
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| 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.