Moller&Irenedmd, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MOLLER&IRENEDMD, INC

Practice address

9092 Talbert Ave Ste 12
Fountain Valley, CA 92708-4475

Phone

(714) 963-6696

NPI assigned

Apr 12, 2022

Last updated

Apr 12, 2022By 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

Moller Awad

Title

Chief Executive Officer

Phone

(949) 689-3204

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irene Awad

  • Dentist
  • Downey, CA
  • NPI 1053647198
  NPD
• Gregory Stephen Schumm, D.D.S.

  • General Practice Dentistry
  • Fountain Valley, CA
  • NPI 1316940307
  NPD (past)

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1073255626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 GRAND AVE UNIT 4",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9092 TALBERT AVE STE 12",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084475",
            "telephone_number": "714-963-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLER&IRENEDMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "MOLLER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "949-689-3204"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bijan Modjtahedi, DDS
• Mody Anesthesiology Corporation
• Minsen Mok, M.D.
• Robert G Mokbel, DDS
• Lesli Ivette Molina Rodriguez
• Laurie Moncrief, MFCC
• Monglan Ho D.D.S., Inc. (Dentaland)
• Lauren Monson
• Pamela Mondonna Montazer, LMFT
• Ligia Montenegro Gonzalez, BA

• Dental Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.