Moeller, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018235 Issued in MI

Legal business name

MOELLER, P.C.

Practice address

2509 S State St
Ann Arbor, MI 48104-6145

Phone

(734) 662-7874

NPI assigned

Jan 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mauricio Sergio Moeller, DDS, MS

Title

Owner

Phone

(734) 222-0023

Specialties & licenses 1

Addresses

Other names 1

• Mauricio Moeller, DDS, MS Other name

Locations

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362268800000",
    "number": "1568700540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046145",
            "telephone_number": "734-662-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046145",
            "telephone_number": "734-662-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOELLER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-03-03",
        "status": "A",
        "authorized_official_last_name": "MOELLER",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_middle_name": "SERGIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-222-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mauricio Moeller, DDS, MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lona Mody, MD
• Rajen J Mody, MB BS
• Swati Shah Mody, MD
• Sergio Mauricio Moeller Zevallos, DDS, MS
• Claudia Moeller, LMSW
• Robert Kenneth Moesta, MS, LLP
• Seth B Moffatt, MD
• Abigail Moffett
• Joy Moffett, MD
• Paul John Moga, D.O., PH.D.

• General Practice Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2013; 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.