NPIMap

Organization Active NPI

Moreno and Young D.D.S. P.L.L.C.

Doing business as Moreno and Young Dental

  • Dentist
  • Bellingham, WA
National Provider Identifier
1023479847
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
603588029 Issued in WA
Legal business name
MORENO AND YOUNG D.D.S. P.L.L.C.
Doing business as
Moreno and Young Dental
Practice address
3115 Howe PL Ste 101
Bellingham, WA 98226-5647
Phone
(360) 676-0642
Fax
(360) 676-1418
NPI assigned
Mar 8, 2016
Last updated
Oct 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald Asael Moreno, D.D.S.NPI 1922047745
Title
Manager Member
Phone
(360) 676-0642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 603588029 WA Primary

Addresses

Primary practice location

3115 Howe PL Ste 101
Bellingham, WA 98226-5647

Mailing address

3115 Howe PL Ste 101
Bellingham, WA 98226-5647
Phone (360) 676-0642

Other names 1

  • Moreno and Young Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1023479847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 HOWE PL STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265647",
            "telephone_number": "360-676-0642",
            "fax_number": "360-676-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 HOWE PL STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265647",
            "telephone_number": "360-676-0642",
            "fax_number": "360-676-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORENO AND YOUNG D.D.S. P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ASAEL",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "360-676-0642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "603588029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moreno and Young Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moreno and Young Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.