Active NPI
Ronald A Moreno, D.D.S. P.S.
- General Practice Dentistry
- Bellingham, WA
National Provider Identifier
1922047745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE 00007519
- Practice address
- 3115 Howe PL.
Suite 101
Bellingham, WA 98226-1735 - Phone
- (360) 676-0642
- Fax
- (360) 676-1418
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE 00007519 | WA | Primary |
Addresses
Primary practice location
3115 Howe PL.
Suite 101
Bellingham, WA 98226-1735
Mailing address
3115 Howe PL.
Suite 101
Bellingham, WA 98226-1735
Phone (360) 676-0642
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57519 | Other | WDS INSURANCE NUMBER | |
| DE 00007519 | Other | WA | WA STATE LICENSE |
| 5021399 | Other | WA | DSHS NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE 00007519 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald Moreno DDS | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Bellingham, WA
- NPI 1689849739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1922047745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 HOWE PL.",
"address_2": "SUITE 101",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982261735",
"telephone_number": "360-676-0642",
"fax_number": "360-676-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 HOWE PL.",
"address_2": "SUITE 101",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982261735",
"telephone_number": "360-676-0642",
"fax_number": "360-676-1418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "RONALD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.D.S. P.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE 00007519",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WDS INSURANCE NUMBER",
"identifier": "57519",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE LICENSE",
"identifier": "DE 00007519",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS NUMBER",
"identifier": "5021399",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.