John J Mooney, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

007544 Issued in CT

Practice address

227 Pomfret St
Putnam, CT 06260-1835

Phone

(860) 963-7676

NPI assigned

Mar 1, 2007

Sex

Male

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

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.

• Northeast Connecticut Dental Associates, Inc.

  • General Practice Dentistry
  • Putnam, CT
  • NPI 1639219140
  NPD (past) Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295863074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "06260",
            "telephone_number": "860-963-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601835",
            "telephone_number": "860-963-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Moderow
• John Modica, MD
• Robert Moes, MD
• Deirdre Lynn Monahan, PA-C
• Alison Monette, ND
• Carlos Morales, M.D.
• Georgina Lynn Mordo
• Joe Moreno, RDH
• Frederick L Morin, LPC
• Margaret Morris, MA, BCBA

• General Practice Dentistry in Putnam, CT
• Providers in Putnam, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.