Sharon Moughan Riedell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 15368-1 Issued in MA

Practice address

10 Doane St
Bradford, MA 01835-7405

Phone

(978) 372-6800

Fax

(978) 372-6222

NPI assigned

Jul 10, 2006

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

Other names 1

• Dr. Sharon Moughan Professional name

Medicare fee-for-service enrollment

Enrolled in MA

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

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366476798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SUNRISE RD",
            "city": "BOXFORD",
            "state": "MA",
            "postal_code": "019212320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DOANE ST",
            "city": "BRADFORD",
            "state": "MA",
            "postal_code": "018357405",
            "telephone_number": "978-372-6800",
            "fax_number": "978-372-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDELL",
        "first_name": "SHARON",
        "middle_name": "MOUGHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN 15368-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "MOUGHAN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Debora Ann Perry, RPH
• Jennifer Pomroy
• Cheryl Ann Provasoli
• Melissa Quevillon
• Keith Bruce Riedell, DDS
• Julie-Ann Roux
• Deborah Hemsley Schultz, OTR/L
• Sharon Moughan DDS, K Bruce Riedell DDS, PC
• Cheryl D Sperring, RN
• Curtis W. Stathis, DDS

• All providers in Bradford, MA
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.