DR. EDWARD MORRIS MOODY III (NPI# 1669920591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669920591 |
| Entity Type | Individual |
| Full Name | DR. EDWARD MORRIS MOODY III |
| Credential | DDS |
| Practice Address |
404 E Texas Ave Rayne LA 70578-6435 |
| Practice Telephone | 3373342967 |
| Practice Fax Number | 3373342967 |
| Mailing Telephone | 3373342967 |
| Mailing Fax Number | 3373342967 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5490 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982808911 | Edward E. Moody Jr. | Counselor | 101 Bradborne Cir, Clayton, NC 27527-4508 | 2007-06-13 |
| 1861557407 | Edward Morris Moody II | Dentist | 404 E Texas Ave, Rayne, LA 70578-6435 | 2006-12-26 |
| 1275652653 | Edward Bridges Moody | Preventive Medicine | 100 Ne Randolph Ave, St. Francis Occupational Health, Peoria, IL 61606-1919 | 2007-03-28 |
| 1396769006 | Edward Herbert Moody Jr. | Dentist | 920 W Main St, Morristown, TN 37814-4515 | 2006-07-26 |
| Street Address |
404 E TEXAS AVE |
| City | RAYNE |
| State | LA |
| Zip Code | 70578-6435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861557407 | Edward Morris Moody II | Dentist | 404 E Texas Ave, Rayne, LA 70578-6435 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396219101 | Arc of Acadiana, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1601 East B North St, Rayne, LA 70578 | 2019-01-15 |
| 1659881274 | Brittany Guidry | Case Manager/Care Coordinator | 421 Elizabeth Dr, Rayne, LA 70578 | 2017-10-10 |
| 1154685857 | Nucleonics of Acadiana, LLC | Clinic/Center | 131 N. Roclay Dr., Lafayette, LA 70578 | 2012-06-27 |
| 1427216290 | Patrick Daniel Briese | Dentist | 1143 Church Point Hwy, Rayne, LA 70578 | 2008-05-29 |
| 1346410172 | Phoenix Behavioral Hospital of Eunice, LLC | Psychiatric Hospital | 2021 Crowley Rayne Hwy, Rayne, LA 70578 | 2008-03-07 |
| 1053513218 | Jennifer Marie Istre | Counselor | 104 E. Edwards, Rayne, LA 70578 | 2007-06-01 |
| 1851341051 | Louisiana Guest House LLC | Skilled Nursing Facility | 2021 Crowley Rayne Highway, Rayne, LA 70578 | 2006-05-11 |
| 1720219157 | Patrick D. Briese, Dds, LLC | Clinic/Center | 1143 Church Point Hwy, Rayne, LA 70578 | 2009-08-03 |
| 1629542436 | Wyatt Daniel Breaux | Student in an Organized Health Care Education/Training Program | 1510 Sellers Rd, Rayne, LA 70578-2628 | 2019-01-15 |
| 1831691542 | Rachel E Mouton | Local Education Agency (LEA) | 302 Country Lakes Trl, Rayne, LA 70578-2662 | 2018-03-08 |
| Find all providers in zip 70578 | ||||
| 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 |
|---|---|---|---|---|
| 1427216290 | Patrick Daniel Briese | Dentist | 1143 Church Point Hwy, Rayne, LA 70578 | 2008-05-29 |
| 1861557407 | Edward Morris Moody II | Dentist | 404 E Texas Ave, Rayne, LA 70578-6435 | 2006-12-26 |
| 1003919374 | Edwin L Bercier Iv | Dentist | 300 N Polk St, Rayne, LA 70578-6551 | 2006-09-05 |
| 1346536190 | Anthony Joseph Bercier | Dentist | 300 N Polk St, Rayne, LA 70578-6551 | 2011-06-21 |
| 1598817249 | Edwin L Bercier IIi | Dentist | 300 N Polk St, Rayne, LA 70578-6551 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1508465899 | Exceptional Dental of Highland, LLC | Dentist | 7278 Highland Rd Ste C, Baton Rouge, LA 70808-6604 | 2020-10-19 |
| 1144828203 | Nia Beasley | Dentist | 1312 Octavia St, New Orleans, LA 70115-4225 | 2020-10-12 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1730797341 | Tyler Stephen Hawthorne | Dentist | 205 N Hood St, Lake Providence, LA 71254-2103 | 2020-07-20 |
| 1174149363 | Nataliya Pavlovna Jumonville | Dentist | 1708 Mlk Jr Blvd Ste 101, Houma, LA 70360-2408 | 2020-06-23 |
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1629693064 | Vial Joseph Leblanc IIi | Dentist | 1007 W Thomas St Ste E, Hammond, LA 70401-3062 | 2020-06-11 |
| 1174148779 | Audubon Urgent Dental | Dentist | 7181 U.S. Hwy 61, Suite 10, Saint Francisville, LA 70775 | 2020-06-10 |
| 1093330631 | Seaira-myangel Emily Miles | Dentist | 3569 W Louisiana State Dr, Kenner, LA 70065-2451 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. EDWARD MORRIS MOODY III.
| 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.