Elemental Dental - Sonya R. Moesle DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELEMENTAL DENTAL - SONYA R. MOESLE DDS, LLC

Doing business as

New Leaf Dental

Practice address

686 Corylus Dr
Pataskala, OH 43062-7628

Phone

(740) 964-3500

Fax

(740) 964-3502

NPI assigned

May 9, 2023

Last updated

May 9, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sonya Renee Moesle, DDSNPI 1689975005

Title

Principal

Phone

(740) 964-3500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• New Leaf Dental Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sonya Renee Moesle, DDS

  • Dentist
  • Pickerington, OH
  • NPI 1689975005
  NPD Authorized official
• Emily Nicole Crock, DDS

  • General Practice Dentistry
  • Pataskala, OH
  • NPI 1386335008
  NPD
• Kyle M Moesle, DDS

  • General Practice Dentistry
  • Pataskala, OH
  • NPI 1588408637
  NPD
• James Lee, DDS

  • Dentist
  • Columbus, OH
  • NPI 1306404710
  NPD (past)

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1700576113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 CORYLUS DR",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430627628",
            "telephone_number": "740-964-3500",
            "fax_number": "740-964-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 CORYLUS DR",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430627628",
            "telephone_number": "740-964-3500",
            "fax_number": "740-964-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL DENTAL - SONYA R. MOESLE DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "MOESLE",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "740-964-3500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DENTAL LICENSE NUMBER",
            "identifier": "30.020362",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1689975005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Leaf Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Edenfield
• Edge Medical Services
• Tracy Marie Edwards
• Yvette Alemnkia Efuetlefac
• Stephanie Egan
• Dalia S Elkhairi, MD
• Elizabeth Catharine Enderle, RN
• Envoy Transit LLC
• Gary L Eubanks
• Blane Richardson Evans, MD

• Dental Clinic/Center in Pataskala, OH
• Providers in Pataskala, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.