Active NPI
Moeckel Family Dentistry PLLC
Doing business as Moeckel Family Dentistry
- General Practice Dentistry
- Fargo, ND
National Provider Identifier
1538413992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MOECKEL FAMILY DENTISTRY PLLC
- Doing business as
- Moeckel Family Dentistry
- Practice address
- 2534 University Dr S
Suite #3
Fargo, ND 58103-5700 - Phone
- (701) 293-0751
- Fax
- (701) 293-6158
- NPI assigned
- Nov 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marie Moeckel, DDS
- Title
- Owner/Dentist
- Phone
- (701) 293-0751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | ND | Primary |
Addresses
Primary practice location
2534 University Dr S
Suite #3
Fargo, ND 58103-5700
Mailing address
2534 University Dr S
Suite #3
Fargo, ND 58103-5700
Phone (701) 293-0751
Other names 1
- Moeckel Family Dentistry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1538413992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2534 UNIVERSITY DR S",
"address_2": "SUITE #3",
"city": "FARGO",
"state": "ND",
"postal_code": "581035700",
"telephone_number": "701-293-0751",
"fax_number": "701-293-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2534 UNIVERSITY DR S",
"address_2": "SUITE #3",
"city": "FARGO",
"state": "ND",
"postal_code": "581035700",
"telephone_number": "701-293-0751",
"fax_number": "701-293-6158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOECKEL FAMILY DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "MOECKEL",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "701-293-0751",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "ND",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Moeckel Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.