Thomas Kyaw Moe, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55206 Issued in CA

Practice address

1237 S 9TH Ave
Arcadia, CA 91006-5044

Phone

(626) 348-8149

Fax

(626) 348-8149

NPI assigned

Feb 5, 2007

Last updated

Oct 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Maung Kyaw Moe Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thomas K Moe DDS Inc

  • Dental Clinic/Center
  • West Covina, CA
  • NPI 1043982093
  NPD Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1548309677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 S 9TH AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910064422",
            "telephone_number": "626-898-4649",
            "fax_number": "626-898-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 S 9TH AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065044",
            "telephone_number": "626-348-8149",
            "fax_number": "626-348-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "THOMAS",
        "middle_name": "KYAW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUNG",
            "last_name": "MOE",
            "middle_name": "KYAW",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ramon Hector Fernandez Misa Jr., FNP
• Brianna Cynthia Mitjans
• Shirif Wagieh Mitry, PHARM.D., M.B.A.
• Mobilize Physical Therapy Inc
• Janett Moctezuma
• Errol Mojica
• Brittany Montgomery
• Jennifer L Montgomery
• Daniel Leo Moon, M.D.
• Brittany D Moore

• General Practice Dentistry in Arcadia, CA
• Providers in Arcadia, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.