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Dr. Amanda Claire Moberly , DMD

Dentist β€’ Berea, KY

Active NPI 1003650862 Individual Practitioner Female Practitioner
Practice location in NPPES

104 Legacy Dr
Berea, KY 404039594

Call 8599862323 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

104 Legacy Dr

Berea, KY 404039594

Telephone 8599862323
Organization at the Same NPPES Address or Phone
Health Help Incorporated Facility NPI 1023094695

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. Moberly as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Berea and Kentucky

8 active clinicians are listed under Dentist with a practice address in Berea, KY (1,028 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-07
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES KY D-00144

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
NPI 1255317244

Doctor of Medicine (M.D.)

NPI 1396240495

Doctor of Osteopathic Medicine (D.O.)

Oneida Helton-Peck , APRN

Nurse Practitioner - Family

NPI 1265767867

Advanced Practice Registered Nurse

NPI 1316502263
Dr. Ann Losch , DO

Family Medicine

NPI 1548214992

Doctor of Osteopathic Medicine (D.O.)

NPI 1609433457

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 07, 2026

Registered at 104 LEGACY DR, BEREA, KY 404039594 (Tel: 8599862323)

πŸ“
Updated Business Mailing Address July 07, 2026

Registered at 401 HIGHLAND PARK DR, RICHMOND, KY 404753839 (Tel: 8596267700)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2026

Dentist (license number reported to NPPES: KY D-00144)

πŸ“
Updated Business Mailing Address July 10, 2024

Registered at 424 WARDS CORNER RD STE 200, LOVELAND, OH 451406966 (Tel: 5135767700)

βœ…
NPI Profile Active June 25, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 25, 2024

Registered at 4627 AICHOLTZ RD, CINCINNATI, OH 452441447 (Tel: 5137532821)

πŸ“
Business Mailing Address (Initial Record) June 25, 2024

Registered at 4627 AICHOLTZ RD, CINCINNATI, OH 452441447

πŸ‘€
Provider Name / Credentials (Initial Record) June 25, 2024

Recorded as AMANDA MOBERLY, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Dentist (license number reported to NPPES: OH 30.027643)

🟒
Initial NPI Registration & Enumeration June 25, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003650862
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2024
Last Update: July 07, 2026
Sole Proprietor: No

Other Dentists in Berea

Mailing Address

401 Highland Park Dr

Richmond, KY 404753839

Phone: 8596267700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.