Gary a Moeller

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GARY A MOELLER

Practice address

2247 Jordan Ave
Juneau, AK 99801-8050

Phone

(907) 789-0619

Fax

(907) 789-7004

NPI assigned

Aug 2, 2010

Organization subpart

No

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

Authorized official

Name

Gary A Moeller, DDS

Title

Owner

Phone

(907) 789-0619

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mindy Jo Shaw, D.D.S.

  • General Practice Dentistry
  • Juneau, AK
  • NPI 1952612186
  NPD (past)

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1548574593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 JORDAN AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018050",
            "telephone_number": "907-789-0619",
            "fax_number": "907-789-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 JORDAN AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018050",
            "telephone_number": "907-789-0619",
            "fax_number": "907-789-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A MOELLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "MOELLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-789-0619",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy A Gallardo, M.D., PH.D.
• Blake Galvin
• Idalia Olga Garcia Terry, CNA/BHA
• Louise Jennifer Garcia
• Randy Garcia
• Gastineau Human Services
• Gastineau Human Services
• Gastineau Human Services Corporation
• Gastineau Human Services Corporation
• Gastineau Human Services Corporation

• General Practice Dentistry in Juneau, AK
• Providers in Juneau, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.