Valerie Elaine Mooney, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10422 Issued in SC

Practice address

1724 State Rd Unit 4D
Summerville, SC 29486-2842

Phone

(843) 352-4454

Fax

(828) 652-3690

NPI assigned

Jun 28, 2016

Last updated

May 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gevony Laughlin Willimas DDS, PA

  dba Marion D.D.S.

  • General Practice Dentistry
  • Marion, NC
  • NPI 1699107433
  NPD (past)

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1033560214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 TAYRN DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928238",
            "telephone_number": "828-768-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 STATE RD UNIT 4D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862842",
            "telephone_number": "843-352-4454",
            "fax_number": "828-652-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "VALERIE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10349",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jauwana Montgomery
• Sara Blakely Montoya, MD
• Connie Moody, FNP-C
• James H. Moody Jr., LPCS
• Rachael Leigh Mooney, LCSW
• Brian Thomas Moore, PHARM D
• Brittney Nicole Moore, MD
• Charles Moore, DMD
• Lisa Beth Moore, LPC
• Michelle Moore

• General Practice Dentistry in Summerville, SC
• Providers in Summerville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.