Individual provider Active NPI

Robert J Moeller, DDS

  • General Practice Dentistry
  • Loveland, OH
National Provider Identifier
1164562500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16775 Issued in OH
Practice address
6378 Branch Hill Guinea Rd
Loveland, OH 45140
Phone
(513) 677-1349
Fax
(513) 677-8331
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16775 OH Primary

Addresses

Primary practice location

6378 Branch Hill Guinea Rd
Loveland, OH 45140

Mailing address

6378 Branch Hill Guinea Rd
Loveland, OH 45140
Phone (513) 677-1349

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
16775OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gerome & Patrice Dental LLC General Practice PastSince Sep 1, 2019 Accepting new patients
Robert J Moeller DDS Mark E Gerome DDS Inc General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164562500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6378 BRANCH HILL GUINEA RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "45140",
            "telephone_number": "513-677-1349",
            "fax_number": "513-677-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6378 BRANCH HILL GUINEA RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "45140",
            "telephone_number": "513-677-1349",
            "fax_number": "513-677-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.