Darrel and Roseann Mooney

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

D1650PR Issued in ID

Legal business name

DARREL AND ROSEANN MOONEY

Doing business as

Idaho Prosthodontics

Practice address

1323 Michigan St
Sandpoint, ID 83864-1747

Phone

(208) 263-6393

NPI assigned

Jun 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Darrel Laverne Mooney, DDS

Title

Ownwe

Phone

(208) 841-5038

Specialties & licenses 1

Addresses

Other names 1

• Idaho Prosthodontics Doing business as

Tax ID family

Darrel and Roseann Mooney2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Idaho Prosthodontics

  • Prosthodontics
  • Sandpoint, ID
  • NPI 1275736522
  NPD tax ID

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1710147087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 CROOKED EAR CT",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838649477",
            "telephone_number": "208-841-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 MICHIGAN ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641747",
            "telephone_number": "208-263-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREL AND ROSEANN MOONEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "DARREL",
        "authorized_official_middle_name": "LAVERNE",
        "authorized_official_title_or_position": "OWNWE",
        "authorized_official_telephone_number": "208-841-5038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "ID",
            "license": "D1650PR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho Prosthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Nicole Creighton, DPT
• Dean Crosgrove, PA
• Nathaniel David Crow, MS DDS
• Stephen Leroy Cummings, MSW, LCSW
• Cynthia W Dalsing, NP
• Jamie Lynne Davis, DAOM, LAC.
• Adriana De Amorim-Lima
• Deblaquiere Enterprises Inc (White Cross Pharmacy)
• Deblaquiere Enterprises, Inc. (White Cross Pharmacy LTC)
• Charlene Marie Dehaven, M.D.

• Prosthodontics in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Prosthodontics in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.