JACK MOYNIHAN
NPI 1033968995
Dentist - General Practice in Lexington, KY
About Jack Moynihan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK MOYNIHAN (NPI 1033968995) is an individual general practice provider in Lexington, Kentucky, licensed in Kentucky (11143) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jack Moynihan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEXINGTON, KY 40536
LEXINGTON, KY 40536
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 Jack Moynihan's NPI number?
The NPI number for Jack Moynihan is 1033968995. It was assigned to this individual provider in the NPPES registry on May 14, 2024.
Where is Jack Moynihan located?
Jack Moynihan practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (413) 313-3700.
What is Jack Moynihan's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Jack Moynihan enrolled in Medicare?
Yes. Jack Moynihan is registered in the Medicare PECOS enrollment system.
What insurance does Jack Moynihan accept?
Health plans from BEST Life, HRI Dental & Vision, Humana, Paramount and Renaissance Dental and 1 other insurer list Jack Moynihan 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 Jack Moynihan was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Jack Moynihan · NPI 1033968995
General Practice provider in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since May 14, 2024.
## Identity
- **NPI:** 1033968995 (Entity type: Individual)
- **Enumerated:** May 14, 2024
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 11143 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 ROSE ST, Lexington, KY 40536-7001
- **Phone:** (413) 313-3700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** September 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033968995) · Data from the CMS NPPES public registry.