Active NPI
Mia Mooney, D.M.D.
- General Practice Dentistry
- Temple, TX
National Provider Identifier
1518372580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30050
- Practice address
- 179 Verbena Dr
Temple, TX 76502-4505 - Phone
- (254) 778-3333
- NPI assigned
- Jun 27, 2014
- Last updated
- Jul 31, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30050 | TX | Primary |
Addresses
Primary practice location
179 Verbena Dr
Temple, TX 76502-4505
Mailing address
6100 Cobalt LN
Killeen, TX 76542-5304
Phone (517) 881-6593
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ease Dental Solutions | Past | Accepting new patients | |
| Manuel Pazmino, Jr., D.D.S., PLLC | General Practice | Past | Accepting new patients |
| Verbena Family Dentistry PLLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Temple, TX
- NPI 1184392524
-
- General Practice Dentistry
- Temple, TX
- NPI 1194179762
-
dba Verbena Family Dentistry
- Dental Clinic/Center
- Temple, TX
- NPI 1811161227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1518372580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 COBALT LN",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765425304",
"telephone_number": "517-881-6593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 VERBENA DR",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765024505",
"telephone_number": "254-778-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONEY",
"first_name": "MIA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-27",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.