Organization Active NPI

Mooney and Holmberg, DDS, PLLC

  • Dentist
  • Wenatchee, WA
National Provider Identifier
1528780608
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MOONEY AND HOLMBERG, DDS, PLLC
Practice address
222 N Mission St Ste C
Wenatchee, WA 98801-6643
Phone
(509) 663-1161
NPI assigned
Sep 14, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Brian Mooney, DDSNPI 1972961399
Title
Partner
Phone
(602) 802-6042

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

222 N Mission St Ste C
Wenatchee, WA 98801-6643

Mailing address

222 N Mission St Ste C
Wenatchee, WA 98801-6643
Phone (509) 663-1161

Other practice location 1

222 N Mission St Ste D
Wenatchee, WA 98801-6643
Phone (509) 663-1161

National Provider Directory

National Provider Directory

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": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1528780608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N MISSION ST STE C",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016643",
            "telephone_number": "509-663-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MISSION ST STE C",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016643",
            "telephone_number": "509-663-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 N Mission St Ste D",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988016643",
            "country_code": "US",
            "telephone_number": "509-663-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOONEY AND HOLMBERG, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "602-802-6042",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.