DR. DEVAN WILLIAM MOODY DDS
NPI 1639660806
Dentist in Midland, MI

Active since May 23, 2018PECOS Enrolled
308 NORTHGATE DR, MIDLAND, MI 48640(989) 631-7880 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2024, May 24, 2023, Apr 9, 2021 and 2 more (5 updates tracked since 2018).

About Dr. Devan William Moody Dds NPPES

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

DR. DEVAN WILLIAM MOODY DDS (NPI 1639660806) is an individual dentist in Midland, Michigan, licensed in Michigan (2901022562) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Midland.

NPPES Registry Identity

NPI1639660806
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DEVAN WILLIAM MOODYCredential: DDS
Location Address308 NORTHGATE DRMidland, MI 48640-7348
Mailing Address308 Northgate DrMidland, MI 48640-7348 · (989) 631-7880
Sole ProprietorYes
Enumeration DateMay 23, 2018
Last NPPES UpdateSeptember 30, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
NPI 1639660806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MI · 2901022562
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.
308 NORTHGATE DR, Midland, MI 48640

Secondary Practice Location 1

Location 1308 Northgate DrMidland, MI 48640-7348 · Phone (989) 631-7880

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Dr. Devan William Moody Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $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.

Dentist
308 NORTHGATE DR
MIDLAND, MI 48640
Dentist (General Practice)
308 NORTHGATE DR
MIDLAND, MI 48640
Dentist (General Practice)
308 NORTHGATE DR
MIDLAND, MI 48640
Dentist (General Practice)
308 NORTHGATE DR
MIDLAND, MI 48640

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 Devan Moody's NPI number?

The NPI number for Devan Moody is 1639660806. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Devan Moody located?

Devan Moody practices at 308 Northgate Dr, Midland, MI 48640. The listed phone number is (989) 631-7880.

What is Devan Moody's specialty?

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

Is Devan Moody enrolled in Medicare?

Yes. Devan Moody is registered in the Medicare PECOS enrollment system.

What insurance does Devan Moody accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Devan Moody 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 Devan Moody was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.