Moon Payne Management LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5144 Issued in AZ

Legal business name

MOON PAYNE MANAGEMENT LLP

Practice address

3930 S Alma School Rd
BLDG. B, Ste. 6
Chandler, AZ 85248-4510

Phone

(480) 222-8083

Fax

(480) 222-8084

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debbie A Gragg

Title

Practice Manager

Phone

(480) 222-8083

Specialties & licenses 2

Addresses

Other names 1

• AZ Dental Spa Doing business as

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063635985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 S ALMA SCHOOL RD",
            "address_2": "BLDG. B, STE. 6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484510",
            "telephone_number": "480-222-8083",
            "fax_number": "480-222-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 S ALMA SCHOOL RD",
            "address_2": "BLDG. B, STE. 6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484510",
            "telephone_number": "480-222-8083",
            "fax_number": "480-222-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON PAYNE MANAGEMENT LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAGG",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "480-222-8083",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5144",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Montes, LPN
• Doraliz Montijo
• Nancy Ogoti Monyenye, PMHNP
• Saloshanie Moodley
• Carly Moody
• Elizabeth Tanya Marie Moon-Gardner
• Amber Rashel Moon, M.S.CCC-SLP
• Erick Tai Soong Moon III, DPT
• Shaina Moon
• Moore Centered Psychiatry PLLC

• General Practice Dentistry in Chandler, AZ
• Providers in Chandler, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.