Maria Chang Moran, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014874 Issued in GA

Practice address

10104 Ford Ave
Suite G
Richmond Hill, GA 31324-8850

Phone

(912) 445-5337

Fax

(888) 289-4301

NPI assigned

Sep 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 24, 2022 through Jan 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1831526235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 IRON GATE CT",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229677",
            "telephone_number": "804-519-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10104 FORD AVE",
            "address_2": "SUITE G",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248850",
            "telephone_number": "912-445-5337",
            "fax_number": "888-289-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MARIA",
        "middle_name": "CHANG",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.8297 GD",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413604",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc E Moffat, LMT
• Keisha Monrose
• Rebeca Montes
• Skyla Moody
• Jaedon Morales
• Maria Paula Morato Pereira Silva
• Viviana Moreno Ferreira, OTR/L
• Greg Anthony Morentin, FNP-BC
• Jeffrey D Morgan, PHYSICIAN ASSISTANT
• Karen Ann Morgan, MSN, FNP-C

• General Practice Dentistry in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.