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

REX C. MOODY D.S.S.
NPI 1043280985
Dentist - Oral and Maxillofacial Surgery in Newport Beach, CA

Active since January 24, 2006Opted out of Medicare · through Jun 9, 2027
360 SAN MIGUEL DR, SUITE 402, NEWPORT BEACH, CA 92660(949) 760-1600(949) 760-0911 Get Directions Write a Review

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

About Rex C. Moody D.s.s. NPPES

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

REX C. MOODY D.S.S. (NPI 1043280985) is an individual oral and maxillofacial surgery provider in Newport Beach, California, licensed in California (24148) and active in the NPI registry since January 2006. He has opted out of Medicare through June 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043280985
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameREX C. MOODYCredential: D.S.S.
Location Address360 SAN MIGUEL DR, SUITE 402Newport Beach, CA 92660-7853
Mailing Address360 San Miguel Dr, Suite 402Newport Beach, CA 92660-7853 · (949) 760-1600 · Fax (949) 760-0911
Phone(949) 760-1600
Fax(949) 760-0911
Sole ProprietorNo
Enumeration DateJanuary 24, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1043280985 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 CA · 24148
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.
360 SAN MIGUEL DR, Newport Beach, CA 92660
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rex C. Moody D.s.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 9, 2017 through June 9, 2027.

Opt-Out Effective DateJune 9, 2017
Opt-Out In Effect ThroughJune 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOHN M. SCHWAB, M.D., A MEDICAL CORPORATION
Anesthesiology
360 SAN MIGUEL DR, #207
NEWPORT BEACH, CA 92660
Orange County (949) 721-1113
DR. ROBERT GERTMENIAN BURNS M.D.
Surgery
360 SAN MIGUEL DR, SUITE 608
NEWPORT BEACH, CA 92660
Orange County (949) 760-1144
NEWPORT ANESTHESIA ASSOCIATES
Specialist
360 SAN MIGUEL DR, SUITE 406
NEWPORT BEACH, CA 92660
Orange County (949) 759-0995
CHALINEE JILL INTARACHOTE D.P.T.
Physical Medicine & Rehabilitation
360 SAN MIGUEL DR, 301
NEWPORT BEACH, CA 92660
Orange County (949) 759-0300
MATTHEW O'MAHONEY D.P.T.
Physical Therapist
360 SAN MIGUEL DR, 301
NEWPORT BEACH, CA 92660
Orange County (714) 759-0300
MR. ALI REZA RAFATJOO M.D.
Family Medicine
360 SAN MIGUEL DR, SUITE 206
NEWPORT BEACH, CA 92660
Orange County (949) 640-4455
NICHOLAS ELIAS ROSE M.D.
Orthopaedic Surgery (Hand Surgery)
360 SAN MIGUEL DR, SUITE#701
NEWPORT BEACH, CA 92660
Orange County (949) 759-3600
RIVIERA MEDICAL CORPORATION
Family Medicine
360 SAN MIGUEL DR, SUITE 107
NEWPORT BEACH, CA 92660
Orange County (949) 760-8300

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 Rex Moody's NPI number?

The NPI number for Rex Moody is 1043280985. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Rex Moody located?

Rex Moody practices at 360 San Miguel Dr Suite 402, Newport Beach, CA 92660. The listed phone number is (949) 760-1600.

What is Rex Moody's specialty?

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

Is Rex Moody enrolled in Medicare?

No. Rex Moody has opted out of Medicare through June 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Rex 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 29 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.