Emma Elizabeth Moredock, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401417333 Issued in VA

Practice address

7300 Cosby Village Rd
Chesterfield, VA 23832-1939

Phone

(804) 821-0070

NPI assigned

Jun 2, 2017

Sex

Female

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 AL

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

Locations

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.

• Brush Up Dental PC

  • Dental Clinic/Center
  • Chesterfield, VA
  • NPI 1871148775
  NPD

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1679001671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 COSBY VILLAGE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238321939",
            "telephone_number": "804-821-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 COSBY VILLAGE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238321939",
            "telephone_number": "804-821-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREDOCK",
        "first_name": "EMMA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobilemed Primary Care, LLC
• Mary Beth Moehl
• Kaitlyn Moore
• Lottie M Moore
• Tangee Moore, LCSW
• Roberta H. Morell, LCSW
• Bonnie Moreno, LCSW
• Tina Mravcak
• Kyle Patrick Mullins, PHARM D.
• Dana T Musselman, RN

• Dentist in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.