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JAMES WILLIAM MOODT D.M.D.
NPI 1427064567
Dentist in Westlake, OH

Active since July 31, 2006Opted out of Medicare · through Jun 22, 2027
24700 CENTER RIDGE RD, ONE KING JAMES SOUTH, SUITE #19, WESTLAKE, OH 44145(440) 871-7979(440) 871-7093 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James William Moodt D.m.d. NPPES

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

JAMES WILLIAM MOODT D.M.D. (NPI 1427064567) is an individual dentist in Westlake, Ohio, licensed in Ohio (15830) and active in the NPI registry since July 2006. He has opted out of Medicare through June 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1427064567
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJAMES WILLIAM MOODTCredential: D.M.D.
Location Address24700 CENTER RIDGE RD, ONE KING JAMES SOUTH, SUITE #19Westlake, OH 44145-5636
Mailing Address24700 Center Ridge Rd, One King James South, Suite #19Westlake, OH 44145-5636 · (440) 871-7979 · Fax (440) 871-7093
Phone(440) 871-7979
Fax(440) 871-7093
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateFebruary 16, 2015
✔ NPI 1427064567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · 15830
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
24700 CENTER RIDGE RD, Westlake, OH 44145
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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

James William Moodt D.m.d. 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 22, 2015 through June 22, 2027.

Opt-Out Effective DateJune 22, 2015
Opt-Out In Effect ThroughJune 22, 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 44145 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 4

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

JOHN MICHAEL TELZROW PHD
Psychologist
24700 CENTER RIDGE RD, SUITE 314
WESTLAKE, OH 44145
Cuyahoga County (440) 871-2121
KING JAMES MEDICAL LABORATORY INC
Clinical Medical Laboratory
24700 CENTER RIDGE RD, SUITE 113
WESTLAKE, OH 44145
Cuyahoga County (440) 835-2150
DR. RICHARD JOSEPH BALLAS D.D.S.
Dentist (General Practice)
24700 CENTER RIDGE RD
WESTLAKE, OH 44145
Cuyahoga County (440) 871-0550
JAMES P. FRACKELTON, MD, INC
General Practice
24700 CENTER RIDGE RD
WESTLAKE, OH 44145
Cuyahoga County (440) 835-0104

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 James Moodt's NPI number?

The NPI number for James Moodt is 1427064567. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is James Moodt located?

James Moodt practices at 24700 Center Ridge Rd One King James South, Suite #19, Westlake, OH 44145. The listed phone number is (440) 871-7979.

What is James Moodt's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is James Moodt enrolled in Medicare?

No. James Moodt has opted out of Medicare through June 22, 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 James Moodt was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.