MICHAEL S MOODY (D.M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1760739825

MICHAEL S MOODY (D.M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in ORAL SURGERY. They hold the professional credentials D.M.D.. They hold a License No. 9433 (AZ). The NPI Number for MICHAEL S MOODY (D.M.D.) is 1760739825

Main info

Male
14 Years Of Experience
Name
MICHAEL S MOODY (D.M.D.)
NPI
1760739825
Phone
(702) 660-5574
Address
6200 N DURANGO DR STE 100
Enumeration Date
8 August 2012
Last Update Date
9 April 2019

Doctor Profile

Medical School Name
UNIV OF NEVADA, LAS VEGAS SCHOOL OF DENTAL MED
Secondary Phone
7026605574
Graduation Year
2012 (14 years ago)
PAC ID
3173982394
Group Practice PAC ID
9436516481
Professional Enrollment ID
I20230706003124
Address ID
NV891493939LA6200XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:13State licenses:3Digital endpointsOther names

12 ORAL SURGERY in NV

Provider Addresses for MICHAEL S MOODY (D.M.D.)

  • 6200 N DURANGO DR STE 100

    LAS VEGAS, NV 89149

    Phone: (702) 660-5574

    Type: Location

  • 3635 S Town Center Dr

    Las Vegas, NV 891353017

    Phone: (702) 660-5576

    Type: Location

  • 6200 N Durango Dr Ste 100

    Las Vegas, NV 89149

    Phone: (702) 660-5574

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $207.

Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($113).

Total Amount

$207

General + Research + Ownership

Payments

5

Total payment records

General Amount

$207

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230706003124IOral SurgeryNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89149)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436516481View full group profile
NameSpecialtyState
Oral SurgeryNV
O T O L A R Y N G O L O G YNV
O T O L A R Y N G O L O G YAP
Oral SurgeryCA

Reviews

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Frequently asked questions

What is the registry number for MICHAEL S MOODY (D.M.D.)?
The registry entry for MICHAEL S MOODY (D.M.D.) shows NPI 1760739825.
Should I treat MICHAEL S MOODY (D.M.D.) as an active provider?
Patients and plans typically see MICHAEL S MOODY (D.M.D.) as active in the national extract.
What services align with MICHAEL S MOODY (D.M.D.)'s listing?
MICHAEL S MOODY (D.M.D.)'s public classification highlights Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Which community is linked to MICHAEL S MOODY (D.M.D.)?
MICHAEL S MOODY (D.M.D.) shows a connection to Las Vegas, Nevada in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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