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KEVIN MODERA
NPI 1649963505
Dentist in New York, NY

Active since May 29, 2023
330 HUDSON ST, NEW YORK, NY 10013(510) 908-3718 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2026, May 29, 2023 (2 updates tracked since 2023).

About Kevin Modera NPPES

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

KEVIN MODERA (NPI 1649963505) is an individual dentist in New York, New York, licensed in New York (065207) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1649963505
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKEVIN MODERA
Location Address330 HUDSON STNew York, NY 10013-1046
Mailing Address161 W 9th St Apt 3Brooklyn, NY 11231-0856 · (510) 908-3718
Phone(510) 908-3718
Sole ProprietorNo
Enumeration DateMay 29, 2023
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1649963505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 065207
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.
330 HUDSON ST, New York, NY 10013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

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 Kevin Modera's NPI number?

The NPI number for Kevin Modera is 1649963505. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Where is Kevin Modera located?

Kevin Modera practices at 330 Hudson St, New York, NY 10013. The listed phone number is (510) 908-3718.

What is Kevin Modera's specialty?

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

What insurance does Kevin Modera accept?

Health plans from Humana list Kevin Modera 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 Kevin Modera was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.