Individual provider Active NPI

Megan Elaine Moyneur, D.D.S.

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1720278328
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55891 Issued in CA
Practice address
7210 Greenhaven Dr
Suite D
Sacramento, CA 95831-3576
Phone
(916) 422-8680
Fax
(916) 422-8690
NPI assigned
Jul 30, 2007
Last updated
Nov 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55891 CA Primary

Addresses

Primary practice location

7210 Greenhaven Dr
Suite D
Sacramento, CA 95831-3576

Mailing address

7210 Greenhaven Dr
Suite D
Sacramento, CA 95831-3576
Phone (916) 422-8680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150917001496 CA Order and Referring Only - DentistPractitioner - Dentist 3577870989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55891CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1720278328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 GREENHAVEN DR",
            "address_2": "SUITE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313576",
            "telephone_number": "916-422-8680",
            "fax_number": "916-422-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 GREENHAVEN DR",
            "address_2": "SUITE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313576",
            "telephone_number": "916-422-8680",
            "fax_number": "916-422-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYNEUR",
        "first_name": "MEGAN",
        "middle_name": "ELAINE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.