Individual provider Active NPI

Joy Lea Moeller, RDH, COM

  • Specialist
  • Pacific Palisades, CA
National Provider Identifier
1093973927
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
15340 Albright St Unit 305
910 Via de la Paz #106
Pacific Palisades, CA 90272-2528
Phone
(310) 454-4044
Fax
(310) 454-0391
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 8267 CA
Specialist 174400000X Primary

Addresses

Primary practice location

15340 Albright St Unit 305
910 Via de la Paz #106
Pacific Palisades, CA 90272-2528

Mailing address

15340 Albright St Unit 305
Pacific Palisades, CA 90272-2528
Phone (310) 454-4044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8267CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1093973927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15340 ALBRIGHT ST UNIT 305",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722528",
            "telephone_number": "310-454-4044",
            "fax_number": "310-454-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15340 ALBRIGHT ST UNIT 305",
            "address_2": "910 VIA DE LA PAZ #106",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722528",
            "telephone_number": "310-454-4044",
            "fax_number": "310-454-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "JOY",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "RDH, COM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "8267",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.