Active NPI
Karen E Mooneyhan, DDS
- General Practice Dentistry
- Denver, CO
National Provider Identifier
1831685486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN.00205311
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181003002904 | NM | Order and Referring Only - Other (Physician) | 2264784164 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00205311 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Albuquerque, NM
- NPI 1326331588
-
- General Practice Dentistry
- Santa Fe, NM
- NPI 1689950008
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.