Toby Bryan Moffatt, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5048 Issued in LA

Practice address

1510 W Causeway Approach
Ste a
Mandeville, LA 70471-3022

Phone

(985) 757-4848

Fax

(985) 727-4899

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Toby Bryan Moffatt Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194728006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 W CAUSEWAY APPROACH",
            "address_2": "STE A",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713022",
            "telephone_number": "985-757-4848",
            "fax_number": "985-727-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 W CAUSEWAY APPROACH",
            "address_2": "STE A",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713022",
            "telephone_number": "985-757-4848",
            "fax_number": "985-727-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFATT",
        "first_name": "TOBY",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOBY",
            "last_name": "MOFFATT",
            "middle_name": "BRYAN",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Martha Miller, MN,APRN,BC,LPC
• Nicole Annee Miller, CRNA
• Megan Mingo, BSHM
• Katherine Mitchell, RN, BSN
• Michele Marie Mixon, MSW, LCSW, BACS
• Kathleen Mary Moller, RN, MSN, RNFA
• Gary Mons
• April Montalbano, MED
• Leah Monteilh, PMHNP-BC
• Patricia J Monteleone,MSW-LCSW, MSW-LCSW

• General Practice Dentistry in Mandeville, LA
• Providers in Mandeville, LA by specialty
• General Practice Dentistry in Louisiana

• 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.