Reynaldo Moyco, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DD3823 Issued in NM

Practice address

4250 Cerrillos Rd Ste 1202
Box 29476
Santa Fe, NM 87592-2000

Phone

(505) 982-4867

Fax

(505) 424-8535

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1144316258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29476",
            "address_2": "4250 CERRILLOS RD #1202",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875929476",
            "telephone_number": "505-982-4867",
            "fax_number": "505-424-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 CERRILLOS RD STE 1202",
            "address_2": "BOX 29476",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875922000",
            "telephone_number": "505-982-4867",
            "fax_number": "505-424-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYCO",
        "first_name": "REYNALDO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "27905",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Angela Moya-Crites, NP
• Precious Marie Moya-Mier
• Anthony R Moya, LCSW
• Bonnie C Moya, MA, LMHC
• Diana J Moya, R.PH
• Majid Mubeen, DIPL. O.M. (NCCAOM)
• Richard Dyer Mudd
• Visanio Elarryo Mukes, D.D.S.
• Elizabeth Mulhall, CNP
• Elizabeth Mullen

• Dentist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.