Johanna Moorefield, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN 21955. Issued in FL

Practice address

7485 Vanderbilt Beach Rd
Naples, FL 34119-1407

Phone

(239) 776-7626

Fax

(239) 776-7431

NPI assigned

Jun 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1134570047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7485 VANDERBILT BEACH RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341191407",
            "telephone_number": "239-776-7626",
            "fax_number": "239-776-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7485 VANDERBILT BEACH RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341191407",
            "telephone_number": "239-776-7626",
            "fax_number": "239-776-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOREFIELD",
        "first_name": "JOHANNA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21955.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Alexandra Moon, ARNP
• Robert L Moon, D.C.
• Daniel Moore, P.A.
• Janice Bracy Moore
• Natsumi Moore
• Mooresville PPM LLC
• Moorings Park Community Health
• Moorings Park Community Health, Inc.
• Moorings Park Healthy Living
• Moorings Park Healthy Living, Inc

• Dentist in Naples, FL
• Providers in Naples, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.