Active NPI
Megan Moshar
- Dentist
- Irvine, CA
National Provider Identifier
1447656111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63980
- Practice address
- 17010 Red Hill Ave
Irvine, CA 92614-5626 - Phone
- (949) 975-0150
- NPI assigned
- Nov 7, 2014
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 63980 | CA | Primary |
Addresses
Primary practice location
17010 Red Hill Ave
Irvine, CA 92614-5626
Mailing address
18140 Devonwood Cir
Fountain Valley, CA 92708-4430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20150805006369 | CA | Order and Referring Only - Dentist | 3971817974 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415318400000",
"number": "1447656111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18140 DEVONWOOD CIR",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17010 RED HILL AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145626",
"telephone_number": "949-975-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHAR",
"first_name": "MEGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-07",
"last_updated": "2014-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.