NPIMap

Organization Active NPI

Mary Elizabeth Moenssen, D.D.S., M.S., P.C.

Doing business as Dexter Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dexter, MI
National Provider Identifier
1477290948
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MARY ELIZABETH MOENSSEN, D.D.S., M.S., P.C.
Doing business as
Dexter Orthodontics
Practice address
7200 Dan Hoey Rd Ste B
Dexter, MI 48130-4201
Phone
(734) 426-5220
NPI assigned
May 17, 2022
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Mary Elizabeth Moenssen, DDS, MSNPI 1306038856
Title
Orthodontist
Phone
(734) 426-5220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

7200 Dan Hoey Rd Ste B
Dexter, MI 48130-4201

Mailing address

7200 Dan Hoey Rd Ste B
Dexter, MI 48130-4201
Phone (734) 426-5220

Other names 1

  • Dexter Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

7200 Dan Hoey Rd
Ste B
Dexter, MI 48130
Phone (734) 426-5220

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1477290948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 DAN HOEY RD STE B",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481304201",
            "telephone_number": "734-426-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 DAN HOEY RD STE B",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481304201",
            "telephone_number": "734-426-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELIZABETH MOENSSEN, D.D.S., M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "MOENSSEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "734-426-5220",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dexter Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dexter, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.