Thomas F. Mooney, III, DDS, MDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

015486 Issued in MO

Legal business name

THOMAS F. MOONEY, III, DDS, MDS, LLC

Doing business as

Mooney Orthodontics

Practice address

9018 Phoenix Pkwy
O Fallon, MO 63368-4278

Phone

(636) 970-4700

NPI assigned

Sep 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Thomas F. Mooney III, DDS, MDSNPI 1720073166

Title

Member / Manager

Phone

(636) 970-4700

Specialties & licenses 1

Addresses

Other names 1

• Mooney Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Francis Mooney III, DDS, MDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • O Fallon, MO
  • NPI 1720073166
  NPD (past) Authorized official

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1063761773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9018 PHOENIX PKWY",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684278",
            "telephone_number": "636-970-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9018 PHOENIX PKWY",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684278",
            "telephone_number": "636-970-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS F. MOONEY, III, DDS, MDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MEMBER / MANAGER",
        "authorized_official_telephone_number": "636-970-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "015486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mooney Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ashton Thornton, RN

• Dental Clinic/Center in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.