F. Ricardo Moreno DDS, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

18322 Issued in TX

Legal business name

F. RICARDO MORENO DDS, PC

Practice address

2410 E Riverside Dr
Ste. H12
Austin, TX 78741-3083

Phone

(512) 442-1224

Fax

(512) 442-8588

NPI assigned

Apr 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. F. Ricardo Moreno, D.D.S.

Title

Owner President

Phone

(512) 442-1224

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• F. Ricardo Moreno DDS, PC Former legal business name

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1336368554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 E RIVERSIDE DR",
            "address_2": "STE. H12",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413083",
            "telephone_number": "512-442-1224",
            "fax_number": "512-442-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 E RIVERSIDE DR",
            "address_2": "STE. H12",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413083",
            "telephone_number": "512-442-1224",
            "fax_number": "512-442-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. RICARDO MORENO DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "F.",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "512-442-1224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "18322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090753702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "F. Ricardo Moreno DDS, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Pediatric Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.