Active NPI
Sonya Renee Moesle, DDS
- Dentist
- Pickerington, OH
National Provider Identifier
1689975005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- OH30020362
- Practice address
- 1555 Cross Creeks Blvd
Pickerington, OH 43147 - Phone
- (614) 866-2895
- NPI assigned
- Nov 17, 2010
- 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 | OH30020362 | OH | Primary |
Addresses
Primary practice location
1555 Cross Creeks Blvd
Pickerington, OH 43147
Mailing address
1555 Cross Creeks Blvd
Pickerington, OH 43147
Phone (614) 866-2895
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH30020362 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elemental Dental - Sonya R. Moesle DDS, LLC | Current | 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.
-
- Dental Clinic/Center
- Pataskala, OH
- NPI 1700576113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1689975005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 CROSS CREEKS BLVD",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "43147",
"telephone_number": "614-866-2895",
"fax_number": "614-866-3533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 CROSS CREEKS BLVD",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "43147",
"telephone_number": "614-866-2895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOESLE",
"first_name": "SONYA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "OH30020362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.