Sireesha R Moola, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27808 Issued in TX

Practice address

409 Dry Gulch BND
Cedar Park, TX 78613-3172

Phone

(650) 245-7009

NPI assigned

Mar 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1942576319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 DRY GULCH BND",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133172",
            "telephone_number": "650-245-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 DRY GULCH BND",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133172",
            "telephone_number": "650-245-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOLA",
        "first_name": "SIREESHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61193",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261090724",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iqra Momin
• Sabiha Akhtar Mondal, M.D
• Brianne Montemayor
• Oscar Montes Ferrer
• Carolina Montgomery, RN
• Moore Health Solutions PLLC
• Lindsey Nicole Moore, M.D.
• Maggie Moore
• Mary Megan Moore, CCC-SLP
• Timothy Moore, RD

• General Practice Dentistry in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.