Alexa Louise Moccia, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

22421 Issued in FL

Practice address

5762 1St Ave N
St Petersburg, FL 33710-7914

Phone

(727) 384-4151

NPI assigned

Mar 13, 2017

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

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.

• Bloom & Wygodski Family Dentistry

  • General Practice Dentistry
  • St Petersburg, FL
  • NPI 1588871156
  NPD (past)

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1285175158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5762 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107914",
            "telephone_number": "727-384-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5762 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107914",
            "telephone_number": "727-384-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCCIA",
        "first_name": "ALEXA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "22421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Marie Mlynarski, APRN
• Amy Moan, PA
• Mobile Health Inc.
• Mobility Medical Supplies LLC
• Catherine Mobley, RN
• Mode Meds, LLC.
• Modern Psychiatry and Wellness LLC
• Jenny Sabina Modeste
• Rishi Ashok Modh, M.D.
• Melanie Heather Modica, MSW

• Dentist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.