Michelle Mooney, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2014016649 Issued in MO

Practice address

1506 Chapel Hill Rd. Ste B
Columbia, MO 65203

Phone

(573) 446-6868

Fax

(573) 446-5588

NPI assigned

Jun 5, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in MO

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.

Enrollment records 1

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 and National Provider Directory roles.

• Dental Wellness Partners LLC

  • General Practice Dentistry
  • Columbia, MO
  • NPI 1407627409
  NPD Authorized official
• Dental Wellness Partners LLC

  • Dental Clinic/Center
  • Columbia, MO
  • NPI 1205699097
  NPD
• Dr. Lori Henderson

  • Pediatric Dentistry
  • Columbia, MO
  • NPI 1649783614
  NPD (past)

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1285047381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 CHAPEL HILL RD. STE B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-446-6868",
            "fax_number": "573-446-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 CHAPEL HILL RD. STE B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-446-6868",
            "fax_number": "573-446-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "MICHELLE",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2014016649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H Montgomery, M.D.
• Lynn Montgomery
• Ryan Daniel Montgomery, M.D.
• Riley Cooper Montross
• Samantha L Moog, LCSW
• Bobby Darrall Moore, C.R.N.A.
• Brett Andrew Moore, D.O.
• Cameron Todd Moore
• Ciara Moore
• Don K Moore, M.D.

• General Practice Dentistry in Columbia, MO
• Providers in Columbia, 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 27, 2021; 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.

Verify at the official NPI Registry.