Active NPI
Heather Moylan, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Alexandria, LA
National Provider Identifier
1356895973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0442000276
- Practice address
- Alexandria Orthodontics
1216 Macarthur Dr.
Alexandria, LA 71303 - Phone
- (504) 909-0601
- NPI assigned
- Aug 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0442000276 | VA | Primary |
Addresses
Primary practice location
Alexandria Orthodontics
1216 Macarthur Dr.
Alexandria, LA 71303
Mailing address
1216 Macarthur Dr.
Alexandria, LA 71303
Phone (504) 909-0601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180626003528 | LA | Order and Referring Only - Dentist | 9638424013 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0442000276 | VA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1356895973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 MACARTHUR DR.",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71303",
"telephone_number": "504-909-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALEXANDRIA ORTHODONTICS",
"address_2": "1216 MACARTHUR DR.",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71303",
"telephone_number": "504-909-0601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYLAN",
"first_name": "HEATHER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-11",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "VA",
"license": "0442000276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.