Gregory John Moegling, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29628 Issued in CA

Practice address

13203 Hadley St
Suite 205
Whittier, CA 90601-4519

Phone

(562) 698-9903

Fax

(562) 698-7982

NPI assigned

Oct 24, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 5, 2016 through May 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649353269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 HADLEY ST",
            "address_2": "SUITE 205",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014519",
            "telephone_number": "562-698-9903",
            "fax_number": "562-698-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 HADLEY ST",
            "address_2": "SUITE 205",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014519",
            "telephone_number": "562-698-9903",
            "fax_number": "562-698-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEGLING",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanchayeeta Mitra, MD
• Roger Craig Miya, D.D.S.
• Bobby Miyamoto
• Keith S Miyamoto, M.D.
• Mercedeh Modir Shanechi
• Nasir A Mohammedi, M.D., M.S., M.S.
• Mohsen Tavoussi, D.O. Professional Corporation
• Veronica Mojica
• Katya Mokfi, OTR/L
• Janet Molchan, RN

• General Practice Dentistry in Whittier, CA
• Providers in Whittier, 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 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.