Active NPI
Robert J Moeller, DDS
- General Practice Dentistry
- Loveland, OH
National Provider Identifier
1164562500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16775
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 16775 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerome & Patrice Dental LLC | General Practice | Past | 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.
-
- General Practice Dentistry
- Loveland, OH
- NPI 1366582702
General Practice
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.