DR. MICHAEL DERRICK MOODY DDS
NPI 1033204094
Dentist - Oral and Maxillofacial Surgery in Bartlesville, OK

Active since October 04, 2006
215 SE HOWARD AVE, BARTLESVILLE, OK 74006(918) 333-9155(918) 333-9142 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Derrick Moody Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL DERRICK MOODY DDS (NPI 1033204094) is an individual oral and maxillofacial surgery provider in Bartlesville, Oklahoma, licensed in Oklahoma (7289) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1033204094
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MICHAEL DERRICK MOODYCredential: DDS
Location Address215 SE HOWARD AVEBartlesville, OK 74006-2204
Mailing Address9990 W 26th Ave, Suite 100Lakewood, CO 80215-1581 · (303) 232-4422 · Fax (303) 232-8795
Fax(918) 333-9142
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateApril 10, 2024
NPPES CertifiedApril 10, 2024
NPI 1033204094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in OK · 7289
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
215 SE HOWARD AVE, Bartlesville, OK 74006

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
215 SE HOWARD AVE
BARTLESVILLE, OK 74006
Dentist (Oral and Maxillofacial Surgery)
215 SE HOWARD AVE
BARTLESVILLE, OK 74006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Moody's NPI number?

The NPI number for Michael Moody is 1033204094. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Michael Moody located?

Michael Moody practices at 215 SE Howard Ave, Bartlesville, OK 74006. The listed phone number is (918) 333-9155.

What is Michael Moody's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Michael Moody accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 9 other insurers list Michael Moody as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Moody was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.