Organization Active NPI

Moellers & Moellers Family Dentistry

  • Dental Clinic/Center
  • Decorah, IA
National Provider Identifier
1780269373
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MOELLERS & MOELLERS FAMILY DENTISTRY
Practice address
511 W Water St Ste C
Decorah, IA 52101-1776
Phone
(563) 382-4302
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Pamela Ann Herman
Title
Office Manager
Phone
(563) 538-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

511 W Water St Ste C
Decorah, IA 52101-1776

Mailing address

PO Box 119
Lansing, IA 52151-0119
Phone (563) 538-4673

Other practice location 1

267 Main St
Lansing, IA 52151-7710
Phone (563) 538-4673

National Provider Directory

National Provider Directory

Locations

511 W Water St
Ste C
Decorah, IA 52101
Phone (563) 382-4302

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1780269373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 119",
            "city": "LANSING",
            "state": "IA",
            "postal_code": "521510119",
            "telephone_number": "563-538-4673",
            "fax_number": "563-538-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W WATER ST STE C",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521011776",
            "telephone_number": "563-382-4302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 Main St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "IA",
            "postal_code": "521517710",
            "country_code": "US",
            "telephone_number": "563-538-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOELLERS & MOELLERS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "563-538-4673"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decorah, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.