Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. IRENE JUNE MOODY M.D.
NPI 1043217102
Specialist in Albuquerque, NM

Active since July 05, 2005
3410 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87106(505) 265-7817(505) 266-1543 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Irene June Moody M.d. NPPES

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

DR. IRENE JUNE MOODY M.D. (NPI 1043217102) is an individual specialist in Albuquerque, New Mexico, licensed in New Mexico (83262) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1043217102
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. IRENE JUNE MOODYCredential: M.D.
Location Address3410 INDIAN SCHOOL RD NEAlbuquerque, NM 87106-1148
Mailing Address3410 Indian School Rd NeAlbuquerque, NM 87106-1148 · (505) 265-7817 · Fax (505) 266-1543
Fax(505) 266-1543
Sole ProprietorNo
Enumeration DateJuly 5, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1043217102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NM · 83262
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3410 INDIAN SCHOOL RD NE, Albuquerque, NM 87106

Other Identifiers 1

Medicaid30742NM

Other Providers at the Same Location NPPES 12

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

Pediatrics
3410 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106
Dental Hygienist
3410 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106
Pediatrics
3410 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106
Registered Nurse (Pediatrics)
3410 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106
Dentist
3410 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106
Dental Hygienist
3410 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106
Pediatrics
3410 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106
Dentist (General Practice)
3410 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106

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 Irene Moody's NPI number?

The NPI number for Irene Moody is 1043217102. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Irene Moody located?

Irene Moody practices at 3410 Indian School Rd NE, Albuquerque, NM 87106. The listed phone number is (505) 265-7817.

What is Irene Moody's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Irene Moody was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.