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DR. JOHN BRYANT MOODY DMD
NPI 1861595100
Dentist - General Practice in Louisville, KY

Active since September 05, 2006
2215 PORTLAND AVE, LOUISVILLE, KY 40212(812) 218-8926(812) 218-8930 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Bryant Moody Dmd NPPES

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

DR. JOHN BRYANT MOODY DMD (NPI 1861595100) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (5990) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1861595100
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN BRYANT MOODYCredential: DMD
Location Address2215 PORTLAND AVELouisville, KY 40212-1033
Mailing Address2215 Portland AveLouisville, KY 40212-1033 · (812) 218-8926
Phone(812) 218-8926
Fax(812) 218-8930
Sole ProprietorNo
Enumeration DateSeptember 5, 2006
Last NPPES UpdateJanuary 18, 2017
✔ NPI 1861595100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 5990
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2215 PORTLAND AVE, Louisville, KY 40212
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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.

JAIVANTI LOHANO MD
Family Medicine
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631
NANCY J MATYUNAS PHARMD
Pharmacist
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 772-0889
DR. MICHAEL T LIN PHARMD
Pharmacist
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 772-8178
STEPHANIE N LUCKETT DMD
Dentist
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 772-8160
JULIA E RICHERSON MD
Pediatrics
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631
IZEGBEA M. CANNON
Nurse Practitioner (Family)
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631
KAREN DUCKWALL MD
Obstetrics & Gynecology
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631
CARLA MARIE BRODERICK APRN
Nurse Practitioner (Adult Health)
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631

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 John Moody's NPI number?

The NPI number for John Moody is 1861595100. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is John Moody located?

John Moody practices at 2215 Portland Ave, Louisville, KY 40212. The listed phone number is (812) 218-8926.

What is John Moody's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for John Moody was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.