Active NPI
Antonio J Moretti, DDS, MS
- Periodontics
- Chapel Hill, NC
National Provider Identifier
1265557482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 0085
- Practice address
- 111 Brauer HL
Dept Periodontology
Chapel Hill, NC 27599-7450 - Phone
- (919) 537-3734
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 0085 | NC | Primary |
Addresses
Primary practice location
111 Brauer HL
Dept Periodontology
Chapel Hill, NC 27599-7450
Mailing address
111 Brauer HL
Dept Periodontology
Chapel Hill, NC 27599-7450
Phone (919) 537-3734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150105000482 | NC | Order and Referring Only - Oral Surgery | 8224217203 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1265557482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BRAUER HL",
"address_2": "DEPT PERIODONTOLOGY",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997450",
"telephone_number": "919-537-3734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BRAUER HL",
"address_2": "DEPT PERIODONTOLOGY",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997450",
"telephone_number": "919-537-3734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORETTI",
"first_name": "ANTONIO",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NC",
"license": "0085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.