Individual provider Active NPI

Shaunon Michelle Moten, DMD

  • General Practice Dentistry
  • Plainsboro, NJ
National Provider Identifier
1881764272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19964 Issued in NJ
Practice address
666 Plainsboro Rd
Suite 540
Plainsboro, NJ 08536-3030
Phone
(609) 716-7100
Fax
(609) 716-7301
NPI assigned
Nov 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19964 NJ Primary

Addresses

Primary practice location

666 Plainsboro Rd
Suite 540
Plainsboro, NJ 08536-3030

Mailing address

666 Plainsboro Rd
Suite 540
Plainsboro, NJ 08536-3030
Phone (609) 716-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20120301000466 NJ Practitioner - DentistPractitioner - Oral Surgery 5395903884 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19964NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Breathe and Sleep Center Corporation PastSince Jan 21, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shaunon.moten.1@12521.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881764272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 PLAINSBORO RD",
            "address_2": "SUITE 540",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363030",
            "telephone_number": "609-716-7100",
            "fax_number": "609-716-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 PLAINSBORO RD",
            "address_2": "SUITE 540",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363030",
            "telephone_number": "609-716-7100",
            "fax_number": "609-716-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTEN",
        "first_name": "SHAUNON",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "19964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

Verify at the official NPI Registry.