Stefan Moiceanu, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43820 Issued in CA

Practice address

2970 Hilltop Mall Rd
Ste 211
Richmond, CA 94806-1949

Phone

(510) 758-7222

Fax

(510) 758-7741

NPI assigned

Jun 14, 2005

Sex

Male

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 CA

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

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174528590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD",
            "address_2": "STE 211",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061949",
            "telephone_number": "510-758-7222",
            "fax_number": "510-758-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD",
            "address_2": "STE 211",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061949",
            "telephone_number": "510-758-7222",
            "fax_number": "510-758-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOICEANU",
        "first_name": "STEFAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaliah Mitchum
• Haley Mizell
• Janice Marie Modica
• Emman Mohamed
• Ankita Mohanty, MSW
• Marcia Lourdes Molina, MSN, RN, PHN
• Michelle N/a Molina
• Victor Molina
• Patrick Mollett, D.O.
• Momentum Physical Therapy

• General Practice Dentistry in Richmond, CA
• Providers in Richmond, CA by specialty
• General Practice Dentistry in California

• 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.
• 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.