Active NPI
Dinorah C. Moya, DDS
- Dentist
- Loveland, CO
National Provider Identifier
1689875189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8835
- Practice address
- 302 3Rd St SE
Suite 150
Loveland, CO 80537-6419 - Phone
- (970) 669-4855
- Fax
- (970) 669-7389
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8835 | CO | Primary |
Addresses
Primary practice location
302 3Rd St SE
Suite 150
Loveland, CO 80537-6419
Mailing address
2930 11TH Ave
Evans, CO 80620-1011
Phone (970) 395-1130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31422586 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8835 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Community Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Loveland, CO
- NPI 1700690252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1689875189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 11TH AVE",
"city": "EVANS",
"state": "CO",
"postal_code": "806201011",
"telephone_number": "970-395-1130",
"fax_number": "970-353-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 3RD ST SE",
"address_2": "SUITE 150",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805376419",
"telephone_number": "970-669-4855",
"fax_number": "970-669-7389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYA",
"first_name": "DINORAH",
"middle_name": "C.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "8835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31422586",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.