Individual provider Active NPI

Tod R Moretton, DDS

  • Endodontics
  • Fishers, IN
National Provider Identifier
1457404675
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
12009678 Issued in IN
Practice address
10078 Lantern Rd
Fishers, IN 46037-9685
Phone
(317) 570-9000
Fax
(317) 577-9911
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 12009678 IN Primary

Addresses

Primary practice location

10078 Lantern Rd
Fishers, IN 46037-9685

Mailing address

10078 Lantern Rd
Fishers, IN 46037-9685
Phone (317) 570-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 18, 2016 through Feb 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009678INMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Specialists Endodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1457404675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10078 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379685",
            "telephone_number": "317-570-9000",
            "fax_number": "317-577-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10078 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379685",
            "telephone_number": "317-570-9000",
            "fax_number": "317-577-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORETTON",
        "first_name": "TOD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IN",
            "license": "12009678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.