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DR. MATTHEW E MOUDY DDS
NPI 1750448114
Dentist in North Little Rock, AR

Active since January 03, 2007PECOS Enrolled
4701 FAIRWAY AVE STE C, NORTH LITTLE ROCK, AR 72116(501) 508-8101(888) 278-6461 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew E Moudy Dds NPPES

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

DR. MATTHEW E MOUDY DDS (NPI 1750448114) is an individual dentist in North Little Rock, Arkansas, licensed in Arkansas (3470) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750448114
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MATTHEW E MOUDYCredential: DDS
Location Address4701 FAIRWAY AVE STE CNorth Little Rock, AR 72116-8069
Mailing Address4701 Fairway Ave Ste CNorth Little Rock, AR 72116-8069 · (501) 508-8101 · Fax (888) 278-6461
Phone(501) 508-8101
Fax(888) 278-6461
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1750448114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AR · 3470
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.
4701 FAIRWAY AVE STE C, North Little Rock, AR 72116
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Other Identifiers 1

Medicaid158956608AR

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. Matthew E Moudy 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 72116 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

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 Matthew Moudy's NPI number?

The NPI number for Matthew Moudy is 1750448114. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Matthew Moudy located?

Matthew Moudy practices at 4701 Fairway Ave Ste C, North Little Rock, AR 72116. The listed phone number is (501) 508-8101.

What is Matthew Moudy's specialty?

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

Is Matthew Moudy enrolled in Medicare?

Yes. Matthew Moudy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Moudy was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.