Active NPI
Thomas K Moe DDS Inc
- Dental Clinic/Center
- West Covina, CA
National Provider Identifier
1043982093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- THOMAS K MOE DDS INC
- Practice address
- 906 S Sunset Ave Ste 103
West Covina, CA 91790-3400 - Phone
- (626) 241-6817
- Fax
- (626) 708-0052
- NPI assigned
- Sep 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas K Moe, DDS
- Title
- President
- Phone
- (626) 241-6817
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
906 S Sunset Ave Ste 103
West Covina, CA 91790-3400
Mailing address
1237 S 9TH Ave
Arcadia, CA 91006-4422
Phone (626) 241-6817
National Provider Directory
National Provider DirectoryLocations
906 S Sunset Ave
Ste 103
West Covina, CA 91790
Phone (626) 241-6817
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Arcadia, CA
- NPI 1548309677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634688000000",
"number": "1043982093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 S 9TH AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910064422",
"telephone_number": "626-241-6817",
"fax_number": "626-708-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 S SUNSET AVE STE 103",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903400",
"telephone_number": "626-241-6817",
"fax_number": "626-708-0052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS K MOE DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-29",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "MOE",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-241-6817",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.