Organization Active NPI

Thomas K Moe DDS Inc

  • Dental Clinic/Center
  • West Covina, CA
National Provider Identifier
1043982093
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Dr. Thomas K Moe, DDSNPI 1548309677
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.