Matthew Charles Moeller, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008713 Issued in IN

Practice address

3965 N Meridian St
Ste 1D
Indianapolis, IN 46208-4044

Phone

(317) 679-0343

NPI assigned

Jun 10, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659375319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7854 CLEARWATER COVE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404900",
            "telephone_number": "317-679-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 N MERIDIAN ST",
            "address_2": "STE 1D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084044",
            "telephone_number": "317-679-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moeez LLC
• Kurt A Moehle, PH.D., H.S.P.P.
• Haylie Catherine Moehlenkamp, PA-C
• Ashley Arnoldi Moeller, MD
• Esther Moeller
• Matthew David Moeller
• Sydney Renee Moeller
• Elaine K Moen, MD
• Renee C Moenning, MD
• Dana Charles Moffatt, MD

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.