Jennifer Moeller, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

021.003106 Issued in IL

Practice address

111 E Wacker Dr Ste 23
Chicago, IL 60601-3713

Phone

(312) 938-3999

NPI assigned

Apr 11, 2017

Last updated

Jul 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Professionals of Old Orchard LTD

  • Customized Equipment (DME)
  • Chicago, IL
  • NPI 1992468128
  NPD
• Dental Professionals of Old Orchard LTD

  • Customized Equipment (DME)
  • Skokie, IL
  • NPI 1710653225
  NPD (past)
• David Sorial DDS PC

  dba Southgate Dental Group

  • Dental Clinic/Center
  • Southgate, MI
  • NPI 1235738113
  NPD (past)
• Smile Studio of Farmington Hills, PC

  dba Drs Birnholz, Sorial and Steiner

  • General Practice Dentistry
  • Farmington Hills, MI
  • NPI 1487242384
  NPD (past)
• Zahler & Henke PC

  • Prosthodontics
  • Farmington Hills, MI
  • NPI 1679176069
  NPD (past)

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1336672831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 N LINCOLN AVE APT 1010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WACKER DR STE 23",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013713",
            "telephone_number": "312-938-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14755 Northline Rd",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481952407",
            "country_code": "US",
            "telephone_number": "734-281-0880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4905 Old Orchard Ctr Ste 728",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600774734",
            "country_code": "US",
            "telephone_number": "847-676-1432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "JENNIFER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033187",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "2901600506",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "021.003106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Caroline Moehlmann
• Matthew Louis Moehlmann, DO
• Jeremy Moehr, PHARMD
• Agatha Moeller, MSW, LCSW
• Darcie Denise Moeller, MD
• Maggie Elise Moeller, DO
• Emily Moentmann
• Brooke Helene Moersfelder, RDCD
• Katherine Moey, CHES, RDN LDN
• Lauren Moey

• Prosthodontics in Chicago, IL
• Providers in Chicago, IL by specialty
• Prosthodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.