Susan Kathleen Murphy Moberger, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30019963 Issued in OH

Practice address

303 Stoneridge Lane
Gahanna, OH 43230

Phone

(614) 476-6696

Fax

(614) 476-5366

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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 OH

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

Interoperability endpoints

• Direct secure messaging: susan.murphymoberger.1@16701.direct.athenahealth.com

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.

• Conkey Moberger Patel Dentistry Partnership LLC

  • General Practice Dentistry
  • Gahanna, OH
  • NPI 1265586937
  NPD (past)
• Mark Levy DDS Inc

  • Dental Clinic/Center
  • Gahanna, OH
  • NPI 1215229703
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285788091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N HAMILTON RD",
            "address_2": "SUITE 200",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-476-6696",
            "fax_number": "614-476-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 STONERIDGE LANE",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-476-6696",
            "fax_number": "614-476-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY MOBERGER",
        "first_name": "SUSAN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30019963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trey Robert Mount
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• Monica Mukherjee, RN, BSN
• Luladey Demissie Muluwork
• Michael R Murnane, M.D.
• Collin James Murray, DPT
• Elizabeth Mustain
• Sophia Mustric
• Cheryl Ann Myers, R.N.
• Walter Myers, RN

• General Practice Dentistry in Gahanna, OH
• Providers in Gahanna, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.