Individual provider Active NPI

Karen E Mooneyhan, DDS

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1831685486
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00205311 Issued in CO
Practice address
7015 W 38TH Ave
Denver, CO 80033-4876
Phone
(505) 377-6664
NPI assigned
Jul 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DD4943 NM
General Practice Dentistry 1223G0001X DEN.00205311 CO Primary

Addresses

Primary practice location

7015 W 38TH Ave
Denver, CO 80033-4876

Mailing address

7015 W 38TH Ave
Denver, CO 80033-4876

Other practice location 1

5901 Wyoming Blvd NE Ste W
Albuquerque, NM 87109-3859
Phone (505) 821-4422

Other practice location 2

3569 Zafarano Dr
Santa Fe, NM 87507-2618
Phone (505) 986-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181003002904 NM Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2264784164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00205311COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
NE Heights Modern Dentistry, LLC General Practice Past Accepting new patients
Santa Fe Modern Dentistry and Orthodontics, LLC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1831685486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 W 38TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "800334876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 W 38TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "800334876",
            "telephone_number": "505-377-6664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 Wyoming Blvd NE Ste W",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871093859",
            "country_code": "US",
            "telephone_number": "505-821-4422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3569 Zafarano Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875072618",
            "country_code": "US",
            "telephone_number": "505-986-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOONEYHAN",
        "first_name": "KAREN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2023-03-03",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4943",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00205311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.