Drew Moeller, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2901020373 Issued in MI

Practice address

2900 Union Lake Rd
Suite 220
Commerce Township, MI 48382-3500

Phone

(248) 363-9345

NPI assigned

May 24, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 1, 2015 through Aug 1, 2027

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Endodontic Associates of Michigan PLLC

  • Endodontics
  • Waterford, MI
  • NPI 1164479101
  NPD (past)

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1215220264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 UNION LAKE RD",
            "address_2": "SUITE 220",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823500",
            "telephone_number": "248-363-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 UNION LAKE RD",
            "address_2": "SUITE 220",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823500",
            "telephone_number": "248-363-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "DREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901020373",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MI",
            "license": "2901020373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter E. Milostan, D.C.
• Mindful Psychology and Wellness, LLC
• Jyotika Harish Mistry
• E Patrick Mitchell, D.O.
• MM Care Group Inc
• Jane Mogi, PT
• Katie Moore, CCC-SLP
• Benjamin Ross Morris, DDS
• Moxie Counseling Center of Michigan
• Janel Lori Mroz, ATC

• Endodontics in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.