Individual provider Active NPI

Celeith Yaneth Acevedo Moros, DDS

  • Pediatric Dentistry
  • Derry, NH
National Provider Identifier
1396574836
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
05407 Issued in NH
Practice address
4 Manchester Ave
Derry, NH 03038-1931
Phone
(617) 636-3898
NPI assigned
Aug 1, 2024
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 05407 NH Primary
Student in an Organized Health Care Education/Training Program 390200000X DL101828 MA

Addresses

Primary practice location

4 Manchester Ave
Derry, NH 03038-1931

Mailing address

189 Washington Ave Apt 3
Chelsea, MA 02150-3928
Phone (206) 596-1521

Other names 1

  • Dr. Celeith Acevedo Moros Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
WDL3NS8F283BWAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1396574836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 WASHINGTON AVE APT 3",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021503928",
            "telephone_number": "206-596-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MANCHESTER AVE",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381931",
            "telephone_number": "617-636-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO MOROS",
        "first_name": "CELEITH",
        "middle_name": "YANETH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NH",
            "license": "05407",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "DL101828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELEITH",
            "last_name": "ACEVEDO MOROS",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.