Margherita Graziosa De Moya, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN11639 Issued in FL

Practice address

403 Hollywood Blvd NW
Suite A101
Fort Walton Beach, FL 32548-4502

Phone

(850) 864-3131

Fax

(850) 864-5115

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1043238165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 HOLLYWOOD BLVD NW",
            "address_2": "SUITE A101",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484502",
            "telephone_number": "850-864-3131",
            "fax_number": "850-864-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 HOLLYWOOD BLVD NW",
            "address_2": "SUITE A101",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484502",
            "telephone_number": "850-864-3131",
            "fax_number": "850-864-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MOYA",
        "first_name": "MARGHERITA",
        "middle_name": "GRAZIOSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN11639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Davis, OTR/L
• Joanna R. Davis, LMHC
• Max Reid Dawkins, PA-C
• Jeanie Sadler Dawson, LPN
• Andrew De Cotis, FNP-C
• Victor De Moya, M.D.
• David Joseph Dean, D.O.
• Kristen Dean, PA-C
• Rodrick Heath Deason, D.M.D.
• Diana Marie Decotis Smith, M.D.

• Pediatric Dentistry in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.