Michael Alexander Mooney, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7150-15 Issued in WI

Practice address

Rhoades 2940 Stanley Rd
Suite 2375
Fort Sam Houston, TX 78234

Phone

(678) 549-0149

NPI assigned

Aug 16, 2013

Last updated

Jun 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1952734626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RHOADES 2940 STANLEY RD",
            "address_2": "SUITE 2375",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "678-549-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RHOADES 2940 STANLEY RD",
            "address_2": "SUITE 2375",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "678-549-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "7150-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Montelongo, OTR
• Isaac Montes, OTR OCCUPATIONAL THE
• Cory Montez, PHARMD
• Samuel Bryan Montgomery, M.D.
• Isabella Moon
• Timothy James Mooney Jr., MD
• Chance Andrew Moore, DNP, APRN, CRNA
• Devin James Moore
• William Joseph Moore III, MD
• Rafael Vidal Mora, M.D.

• General Practice Dentistry in Fort Sam Houston, TX
• Providers in Fort Sam Houston, 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 7, 2024; 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.