CHARON MOODY RDHAP
NPI 1558828160
Advanced Practice Dental Therapist in Carson, CA

Active since March 01, 2019
727 E HOLBORN DR, CARSON, CA 90746(213) 591-0807 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charon Moody Rdhap NPPES

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

CHARON MOODY RDHAP (NPI 1558828160) is an individual advanced practice dental therapist in Carson, California, licensed in California (723) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1558828160
Entity TypeIndividualFemale
Primary Taxonomy125K00000X
Provider Legal NameCHARON MOODYCredential: RDHAP
Location Address727 E HOLBORN DRCarson, CA 90746-2328
Mailing Address727 E Holborn DrCarson, CA 90746-2328 · (213) 591-0807
Sole ProprietorYes
Enumeration DateMarch 1, 2019
NPI 1558828160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice Dental TherapistDental Providers
Taxonomy Code125K00000X
License Licensed in CA · 723
Definition
An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
727 E HOLBORN DR, Carson, CA 90746

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 Charon Moody's NPI number?

The NPI number for Charon Moody is 1558828160. It was assigned to this individual provider in the NPPES registry on March 1, 2019.

Where is Charon Moody located?

Charon Moody practices at 727 E Holborn Dr, Carson, CA 90746. The listed phone number is (213) 591-0807.

What is Charon Moody's specialty?

The primary specialty registered for this NPI is Advanced Practice Dental Therapist with taxonomy code 125K00000X.

When was this NPI record last updated?

The NPPES record for Charon Moody was last updated on March 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.