Individual provider Active NPI

Moana Christina Leuluai

  • Dental Hygienist
  • Clarksville, TN
National Provider Identifier
1891665402
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
10983 Issued in TN
Practice address
1301 Peachers Mill Rd
Clarksville, TN 37042-4610
Phone
(931) 572-9152
NPI assigned
Nov 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 10983 TN Primary

Addresses

Primary practice location

1301 Peachers Mill Rd
Clarksville, TN 37042-4610

Mailing address

1301 Peachers Mill Rd
Clarksville, TN 37042-4610
Phone (931) 572-9152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10983TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Dental Group PLLC CurrentSince Nov 9, 2025 Accepting new patients
Clarksville Dental Center, PLLC PastSince Nov 9, 2025 Accepting new patients

Locations

1301 Peachers Mill Rd
Clarksville, TN 37042
Phone (931) 572-9152

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": "1762560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1891665402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PEACHERS MILL RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424610",
            "telephone_number": "931-572-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PEACHERS MILL RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424610",
            "telephone_number": "931-572-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEULUAI",
        "first_name": "MOANA",
        "middle_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-08",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "10983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; 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.