Active NPI
Megan Elaine Moyneur, D.D.S.
- General Practice Dentistry
- Sacramento, CA
National Provider Identifier
1720278328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55891
- 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, 2013
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150917001496 | CA | Order and Referring Only - Dentist | 3577870989 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55891 | CA | MD | General 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
- Jacqueline Moylan
- Kellyann Moylan
- Hillary Moyle, REGISTERED CCAPP
- Jamie Moyle
- Moyneur and Perisho Dental Corporation (Moyneur and Perisho Family Dentistry)
- Robert Joseph Moynihan, M.D.
- Nhlanhla Moyo, PMHNP- BC
- Jacquelyn Moz
- Chinomso Mpumechi-Andy
- Mr Therapy, a Licensed Clinical Social Worker Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.