Thomas B Moon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3365 Issued in NH

Practice address

152 Highland St
Rochester, NH 03868

Phone

(603) 332-8868

Fax

(603) 332-2811

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifetime Dental Professionals of New Hampshire, P.C.

  • General Practice Dentistry
  • Rochester, NH
  • NPI 1164821708
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609938422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 HIGHLAND STREET",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "03868",
            "telephone_number": "603-332-8868",
            "fax_number": "603-332-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 HIGHLAND ST",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "03868",
            "telephone_number": "603-332-8868",
            "fax_number": "603-332-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "THOMAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "3365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Minnis, AT
• John Mirabello, MD
• Haylee Mitchell, MSW
• Angela Marie Modzelewski, MS, BCBA, LABA
• Tehani Monrazel, DMD
• Lee Anne Morgan, LMT
• William Robert Morgan, MD
• Jessica Moro
• John J Moro IV, PHARMD.
• Nancy Morse, M ED.

• Dentist in Rochester, NH
• Providers in Rochester, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.