NPIMap

Organization Active NPI

Robert W. Moulton, DMD, PC

  • General Practice Dentistry
  • Wexford, PA
National Provider Identifier
1881912012
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS023498L Issued in PA
Legal business name
ROBERT W. MOULTON, DMD, PC
Practice address
9758 Perry Hwy
Wexford, PA 15090-9711
Phone
(412) 635-9355
Fax
(412) 635-9357
NPI assigned
May 12, 2010
Last updated
May 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Dr. Robert W. Moulton Jr., DMDNPI 1144245044
Title
DMD/President
Phone
(412) 635-9355

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
General Practice Dentistry 1223G0001X DS023498L PA Primary

Addresses

Primary practice location

9758 Perry Hwy
Wexford, PA 15090-9711

Mailing address

9758 Perry Hwy
Wexford, PA 15090-9711
Phone (412) 635-9355

National Provider Directory

National Provider Directory

Locations

9758 Perry Hwy
Wexford, PA 15090
Phone (412) 635-9355

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1881912012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9758 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909711",
            "telephone_number": "412-635-9355",
            "fax_number": "412-635-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9758 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909711",
            "telephone_number": "412-635-9355",
            "fax_number": "412-635-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. MOULTON, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DMD/PRESIDENT",
        "authorized_official_telephone_number": "412-635-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023498L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.