Moua Family Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MOUA FAMILY DENTISTRY PC

Practice address

1714 Cope Ave E
Maplewood, MN 55109-2664

Phone

(763) 645-4737

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Chia Moua, DDSNPI 1104316801

Title

Ceo

Phone

(763) 645-4737

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chia Wam Moua, DDS

  • General Practice Dentistry
  • Maplewood, MN
  • NPI 1104316801
  NPD Authorized official

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1922718030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 COPE AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 COPE AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092664",
            "telephone_number": "763-645-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUA FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "MOUA",
        "authorized_official_first_name": "CHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-645-4737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lyn Moritz, CNP, WHNP-BC
• Seiquayia Morris
• Charles Moser, MD
• Renee J Most, M.A. LADC
• Sarah Mott, M.D.
• Arrony Kao Zong Moua
• Chia Wam Moua, DDS
• MTC Senior Residence
• Adam Lee Muehler, PHARM.D., R.PH.
• Jessica Marie Mulcare, PHARMD

• Dental Clinic/Center in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.