Organization Active NPI

Moeckel Family Dentistry PLLC

Doing business as Moeckel Family Dentistry

  • General Practice Dentistry
  • Fargo, ND
National Provider Identifier
1538413992
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Nov 6, 2012

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.