Sandra Nkechi Muoghalu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2016012511 Issued in MO

Practice address

1050 W. Hayward Dr
Mount Vernon, MO 65712

Phone

(417) 466-7196

Fax

(417) 466-4081

NPI assigned

May 3, 2006

Sex

Female

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

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.

• J. Warren Hildreth, Jr DDS PC of Missouri

  • General Practice Dentistry
  • Mount Vernon, MO
  • NPI 1952403040
  NPD (past)
• Mid - America Hearing Center, Inc

  • Hearing Instrument Specialist
  • Mount Vernon, MO
  • NPI 1578665550
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1215995683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W. HAYWARD DR",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "65712",
            "telephone_number": "417-466-7196",
            "fax_number": "417-466-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W. HAYWARD DR",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "65712",
            "telephone_number": "417-466-7196",
            "fax_number": "417-466-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUOGHALU",
        "first_name": "SANDRA",
        "middle_name": "NKECHI",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "7169",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2016012511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missouri Veterans Commission
• Shelby Lauren Moore, PTA
• Motherworks, LLC
• Mount Vernon Eyecare Associates, LLC
• Mt Vernon Place Care Center, Inc.
• Linda Myers, MD
• Jackie L Norris, PLPC
• Brandon O'Connell, DC
• Oncare
• Alaina A Orr, HIS

• General Practice Dentistry in Mount Vernon, MO
• Providers in Mount Vernon, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.