DR. MILO LYMAN MOODY M.D.
NPI 1659554764
Specialist in Provo, UT

Active since December 12, 2007
777 N 500 W, #104, PROVO, UT 84601(801) 374-9299(801) 377-4220 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Milo Lyman Moody M.d. NPPES

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

DR. MILO LYMAN MOODY M.D. (NPI 1659554764) is an individual specialist in Provo, Utah, licensed in Utah (148865-1205) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1659554764
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MILO LYMAN MOODYCredential: M.D.
Location Address777 N 500 W, #104Provo, UT 84601-1541
Mailing Address777 N 500 W, #104Provo, UT 84601-1541 · (801) 374-9299 · Fax (801) 377-4220
Fax(801) 377-4220
Sole ProprietorYes
Enumeration DateDecember 12, 2007
NPI 1659554764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in UT · 148865-1205
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
777 N 500 W, Provo, UT 84601

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.

Dentist (General Practice)
777 N 500 W, SUITE 201 B
PROVO, UT 84601
Dentist
777 N 500 W, SUITE 101B
PROVO, UT 84601
Clinic/Center
777 N 500 W, SUITE 104
PROVO, UT 84601
Dentist (Oral and Maxillofacial Surgery)
777 N 500 W, SUITE 102
PROVO, UT 84601
Marriage & Family Therapist
777 N 500 W, #104
PROVO, UT 84601
Dentist (General Practice)
777 N 500 W, SUITE 201 B
PROVO, UT 84601
Dentist
777 N 500 W
PROVO, UT 84601
Clinic/Center (Podiatric)
777 N 500 W, SUITE 105
PROVO, UT 84601

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 Milo Moody's NPI number?

The NPI number for Milo Moody is 1659554764. It was assigned to this individual provider in the NPPES registry on December 12, 2007.

Where is Milo Moody located?

Milo Moody practices at 777 N 500 W #104, Provo, UT 84601. The listed phone number is (801) 374-9299.

What is Milo Moody's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Milo Moody was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.