Active NPI
Adrian Victor De Moya, DMD, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pensacola, FL
National Provider Identifier
1790259372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DEN.00205786
- Practice address
- 4900 Market Place Rd
Pensacola, FL 32504-8985 - Phone
- (850) 477-1089
- NPI assigned
- Jan 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN22677 | FL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DEN.00205786 | CO | Primary |
Addresses
Primary practice location
4900 Market Place Rd
Pensacola, FL 32504-8985
Mailing address
4900 Market Place Rd
Pensacola, FL 32504-8985
Phone (850) 477-1089
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 |
|---|---|---|---|
| DEN.00205786 | CO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DN22677 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1790259372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 MARKET PLACE RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048985",
"telephone_number": "850-477-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MARKET PLACE RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048985",
"telephone_number": "850-477-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE MOYA",
"first_name": "ADRIAN",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "DMD, MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-16",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN22677",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CO",
"license": "DEN.00205786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
- Jessica A De Guzman
- Jessica Lauren Roberts De Haan, MD
- Christopher Bueno De la Cruz
- Destiny N De la Garza
- De Luna Operating Investments LLC
- Atticus Lawton Deacon, DMD
- Deaf and Hard of Hearing Services of the Emerald Coast, Inc.
- Dean Edmund Altenhofen, M.D., P.a.
- Darcy Rochelle Dean, LICSW
- David Dean, ED.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.