Roseann T Mooney, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D1845 Issued in ID

Practice address

314 W Bannock St
Boise, ID 83702-6032

Phone

(208) 336-9333

Fax

(208) 387-1951

NPI assigned

Aug 12, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Parkcenter Smiles LLC

  • Dental Clinic/Center
  • Boise, ID
  • NPI 1891553483
  NPD Authorized official
• Capitol Dental, PC

  • Periodontics
  • Boise, ID
  • NPI 1831101518

  Dentist

  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1194737825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026032",
            "telephone_number": "208-336-9333",
            "fax_number": "208-387-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026032",
            "telephone_number": "208-336-9333",
            "fax_number": "208-387-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "ROSEANN",
        "middle_name": "T",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D1845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violet Leona Moon, CPM
• Carson A. Mooney, D.D.S.
• Darrel L Mooney, D.D.S. , F.A.C.P.
• Misha Dawn Mooney, L.AC, DIPL. O.M
• Pamela Ellen Mooney
• Monty L Moore Johnson, LCPC
• Moore Wellness PLLC
• Alanna C Moore, PA-C
• Ann Jolene Moore, L.C.P.C.
• Cassandre Lynn Moore, LCSW

• Dentist in Boise, ID
• Providers in Boise, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.