Richard James Mooney Sr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

012306 Issued in MO

Practice address

5567 Oakville Shopping Center
St Louis, MO 63129

Phone

(314) 487-9700

Fax

(314) 487-9701

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851455513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5567 OAKVILLE SHOPPING CENTER",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63129",
            "telephone_number": "314-487-9700",
            "fax_number": "314-487-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5567 OAKVILLE SHOPPING CENTER",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63129",
            "telephone_number": "314-487-9700",
            "fax_number": "314-487-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "012306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woo Jung Moon, DO
• Amy Marie Mooney, NNP
• Brittany Elizabeth Wichman Mooney, MD
• Cathleen Courtney Mooney
• Leah Marie Mooney, PA
• Tina Lynn Mooney, FPN,C
• Moor Rides Transportation LLC
• Ariana Araxi Mooradian, MD
• Marvina Moore Amerson, DO
• Moore Home Care Services LLC

• Dentist in St Louis, MO
• Providers in St Louis, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.