Moeller Murray PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D13314 Issued in MN

Legal business name

MOELLER MURRAY PA

Doing business as

Northwoods Dental Clinic

Practice address

405 Henrietta Ave S
Park Rapids, MN 56470-2278

Phone

(218) 732-1414

Fax

(218) 732-7519

NPI assigned

Jan 15, 2014

Last updated

Jan 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bonnie Moeller, DDS

Title

Treasurer / Owner

Phone

(425) 256-1728

Specialties & licenses 1

Addresses

Other names 1

• Northwoods Dental Clinic Doing business as

Locations

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1063834620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564700006",
            "telephone_number": "218-732-1414",
            "fax_number": "218-732-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HENRIETTA AVE S",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564702278",
            "telephone_number": "218-732-1414",
            "fax_number": "218-732-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOELLER MURRAY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "MOELLER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "TREASURER / OWNER",
        "authorized_official_telephone_number": "425-256-1728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D13314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwoods Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Meyers
• Michael L Vettel (The Pharmacy Shoppe)
• Mississippi Headwaters Area Dental Health Center, Inc. (Northern Dental Access Center)
• Heather Mitchell, DPT
• Eric Mjelde
• Deborah Kay Montzka, D.C.
• Hyacinth Rose Mosse, LSW
• Gladys Marie Murphy
• Jeremy John Nelson, D.C.
• Lora Lynne Nelson, D.D.S.

• Dental Clinic/Center in Park Rapids, MN
• Providers in Park Rapids, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.