NPIMap

Organization Active NPI

Sogole S Moin PLLC

  • Dental Clinic/Center
  • Manchester, NH
National Provider Identifier
1841698156
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3862 Issued in NH
Legal business name
SOGOLE S MOIN PLLC
Doing business as
Moin Orthodontics
Practice address
765 S Main St
Suite 302
Manchester, NH 03102-5141
Phone
(603) 669-4503
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Dr. Sogole Sibyl Moin, DMDNPI 1073742615
Title
Owner
Phone
(603) 669-4503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3862 NH Primary

Addresses

Primary practice location

765 S Main St
Suite 302
Manchester, NH 03102-5141

Mailing address

765 S Main St
Suite 302
Manchester, NH 03102-5141
Phone (603) 669-4503

Other names 1

  • Moin Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

765 S Main St
Ste 302
Manchester, NH 03102
Phone (603) 669-4503

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": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1841698156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 S MAIN ST",
            "address_2": "SUITE 302",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025141",
            "telephone_number": "603-669-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 S MAIN ST",
            "address_2": "SUITE 302",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025141",
            "telephone_number": "603-669-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOGOLE S MOIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "MOIN",
        "authorized_official_first_name": "SOGOLE",
        "authorized_official_middle_name": "SIBYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-669-4503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NH",
            "license": "3862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moin Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.