John Thomas Moylan III, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6504 Issued in LA

Practice address

3511 Parliament CT
Alexandria, LA 71303-3135

Phone

(318) 545-7606

NPI assigned

Aug 19, 2014

Last updated

Oct 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexandria Smile Center LLC

  • Dental Clinic/Center
  • Alexandria, LA
  • NPI 1992390793
  NPD Authorized official
• Sam E English II DDS LTD

  • General Practice Dentistry
  • Mechanicsville, VA
  • NPI 1164544987
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1861891475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 PARLIAMENT CT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033135",
            "telephone_number": "318-545-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 PARLIAMENT CT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033135",
            "telephone_number": "318-545-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYLAN",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415210",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Nicole Mouliere
• Robin D Mouliere, PD
• Lisa Janette Mount, LCSW, BACS
• Adam Mowdy
• Heather Moylan, DDS
• MTB Holdings LLC
• Jessie Taylor Muckleroy
• Tawfik M. Mukhtar-Benghozi
• Victoria Leigh Munsterman, NP
• Leronisha Murphey

• General Practice Dentistry in Alexandria, LA
• Providers in Alexandria, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.