STACY RENAE MOODY DMD
NPI 1700984317
Dentist - General Practice in Granite City, IL
About Stacy Renae Moody Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY RENAE MOODY DMD (NPI 1700984317) is an individual general practice provider in Granite City, Illinois, licensed in Illinois (019026581) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Stacy Renae Moody Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stacy Moody's NPI number?
The NPI number for Stacy Moody is 1700984317. It was assigned to this individual provider in the NPPES registry on September 20, 2006.
Where is Stacy Moody located?
Stacy Moody practices at 3120 Maryville Rd, Granite City, IL 62040. The listed phone number is (618) 797-9940.
What is Stacy Moody's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Stacy Moody enrolled in Medicare?
Yes. Stacy Moody is registered in the Medicare PECOS enrollment system.
What insurance does Stacy Moody accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Stacy 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 Stacy Moody was last updated on October 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Stacy Renae Moody, DMD · NPI 1700984317
General Practice provider in Granite City, Illinois. Individual provider, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1700984317 (Entity type: Individual)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 019026581 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3120 MARYVILLE RD, Granite City, IL 62040-5189
- **Phone:** (618) 797-9940
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** October 30, 2013
---
Source: [NPI Profile](https://npiprofile.com/npi/1700984317) · Data from the CMS NPPES public registry.