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MICHAEL S MOODY D.M.D.
NPI 1760739825
Dentist - Oral and Maxillofacial Surgery in Las Vegas, NV

Active since August 08, 2012PECOS Enrolled
6200 N DURANGO DR STE 100, LAS VEGAS, NV 89149(702) 660-5574 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 9, 2019, Jun 27, 2016 (2 updates tracked since 2016).

About Michael S Moody D.m.d. NPPES

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

MICHAEL S MOODY D.M.D. (NPI 1760739825) is an individual oral and maxillofacial surgery provider in Las Vegas, Nevada, licensed in Nevada (S2-155C) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Univ Of Nevada, Las Vegas School Of Dental Med (2012).

NPPES Registry Identity

NPI1760739825
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMICHAEL S MOODYCredential: D.M.D.
Location Address6200 N DURANGO DR STE 100Las Vegas, NV 89149
Mailing Address6200 N Durango Dr Ste 100Las Vegas, NV 89149-3916 · (801) 915-4554
Phone(702) 660-5574
Sole ProprietorNo
Medical School CMSUniv Of Nevada, Las Vegas School Of Dental MedGraduated 2012
Enumeration DateAugust 8, 2012
Last NPPES UpdateApril 9, 20192 updates tracked since enumeration
✔ NPI 1760739825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in NV · S2-155C✔ Licensed in AZ · 9433
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License DRP1048 (FL)
6200 N DURANGO DR STE 100, Las Vegas, NV 89149
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Secondary Practice Locations 2

Location 16200 N Durango Dr Ste 100Las Vegas, NV 89149 · Phone (702) 660-5574
Location 23635 S Town Center DrLas Vegas, NV 89135-3017 · Phone (702) 660-5576

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael S Moody D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173982394
PECOS Enrollment IDI20230706003124
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Moody reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Falk Oral & Facial Surgery, PLLC
Same address
Oral and Maxillofacial Surgery
6200 NORTH DURANGO DRIVE, SUITE 100
Las Vegas, NV 89149
  • Reassigned Medicare billing, Nevada enrollment
  • 5 clinicians in this Medicare group
NPI 1922489350 (702) 660-5574

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89149 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANYON ANESTHESIA AND ASSOCIATES LLC
Dentist (Dentist Anesthesiologist)
6200 N DURANGO DR STE 100
LAS VEGAS, NV 89149
Clark County (702) 660-5574
CANYON DENTAL IMPLANT CENTER LLC
Clinic/Center (Dental)
6200 N DURANGO DR STE 100
LAS VEGAS, NV 89149
Clark County (702) 660-5574
DR. ROBERT YAU D.M.D., M.D.
Dentist (Oral and Maxillofacial Surgery)
6200 N DURANGO DR STE 100
LAS VEGAS, NV 89149
Clark County (702) 660-5574
FALK ORAL & FACIAL SURGERY, PLLC
Dentist (Oral and Maxillofacial Surgery)
6200 N DURANGO DR STE 100
LAS VEGAS, NV 89149
Clark County (702) 660-5574
CANYON SURGICAL SPECIALISTS LLC
Oral & Maxillofacial Surgery
6200 N DURANGO DR STE 100
LAS VEGAS, NV 89149
Clark County (702) 660-5574

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 Michael Moody's NPI number?

The NPI number for Michael Moody is 1760739825. It was assigned to this individual provider in the NPPES registry on August 8, 2012.

Where is Michael Moody located?

Michael Moody practices at 6200 N Durango Dr Ste 100, Las Vegas, NV 89149. The listed phone number is (702) 660-5574.

What is Michael Moody's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Moody enrolled in Medicare?

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

Which organization bills Medicare for Michael Moody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Moody reassigns Medicare benefits to Falk Oral & Facial Surgery, PLLC (Las Vegas, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Moody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Moody accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Michael 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 Michael Moody was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.