P Praxis·MD
● Active Type 1 · Individual

DR. Jeannie Marie Moody, D,M.D

Dentist·Fort Worth, TX· NPI 1972749422 · Enumerated 2009 · 17 years on NPI
Moody is 1 of 54 dentist providers in Fort Worth and 1 of 1850 in Texas.
NPI age
17 years
Enumerated 2009-01-05
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-01-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1850 active dentist providers in Texas.

NPI age
17 years
↑ 2 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-01Enumerated in NPPES
2009 2026

Where they practice

Practice location
5407 Basswood Blvd, Suite 107
Fort Worth, TX 761376900
📞 8173480910
Mailing address
5407 Basswood Blvd, Suite 107
Fort Worth, TX 761376900
📞 8173480910

Specialties

  • Dentist Primary
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    TX license #24299 taxonomy 1223X0400X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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