Alice P Moran, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

48514 Issued in CA

Practice address

1001 Avenida Pico Ste K
San Clemente, CA 92673-6956

Phone

(949) 361-4867

Fax

(949) 361-4868

NPI assigned

Sep 11, 2013

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 CA

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.

• Dr. Alice P. Moran, DMD, Apc

  • Dental Clinic/Center
  • San Clemente, CA
  • NPI 1295890994
  NPD (past) Authorized official
• Raymond L. Wright Jr DDS PC

  • Periodontics
  • San Clemente, CA
  • NPI 1740868140
  NPD (past)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1316372279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVENIDA PICO STE K",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736956",
            "telephone_number": "949-361-4867",
            "fax_number": "949-361-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 AVENIDA PICO STE K",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736956",
            "telephone_number": "949-361-4867",
            "fax_number": "949-361-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "ALICE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "48514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gennifer M Montoya, Z58464
• Ashton Elizabeth Moore
• Don Moore, DC
• Michelle Joceline Moore, PHD
• Kelly Rose Mora
• Efraim John Moreno I, DMD
• Chrissie Morgan, P.T.
• Bijan Bagher Moridani, M.D.
• Charlene P Morrow, MFT
• Breanna Moskovitz

• Periodontics in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.