Active NPI
Jennifer L Moran, DDS
- Dentist
- Salinas, CA
National Provider Identifier
1740439066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57351
- Practice address
- 130 E Romie LN Ste C
Salinas, CA 93901-3159 - Phone
- (831) 424-0303
- Fax
- (831) 424-3629
- NPI assigned
- Sep 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 57351 | CA | Primary |
Addresses
Primary practice location
130 E Romie LN Ste C
Salinas, CA 93901-3159
Mailing address
130 E Romie LN Ste C
Salinas, CA 93901-3159
Phone (408) 375-3984
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 |
|---|---|---|---|
| 57351 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer L. Moran, DDS, Inc | Past | 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.
-
- General Practice Dentistry
- Salinas, CA
- NPI 1487031852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1740439066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 E ROMIE LN STE C",
"city": "SALINAS",
"state": "CA",
"postal_code": "939013159",
"telephone_number": "408-375-3984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E ROMIE LN STE C",
"city": "SALINAS",
"state": "CA",
"postal_code": "939013159",
"telephone_number": "831-424-0303",
"fax_number": "831-424-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.