Phillip Moy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

536 W Boughton Rd
Suite a
Bolingbrook, IL 60440-5705

Phone

(630) 759-1221

Fax

(630) 759-3711

NPI assigned

Aug 15, 2006

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

Enrolled in IL

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

Practice roles

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.

• Aesthetic Dental Health Center, LTD.

  • General Practice Dentistry
  • Bolingbrook, IL
  • NPI 1083627368
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962415240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 W BOUGHTON RD",
            "address_2": "SUITE A",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405705",
            "telephone_number": "630-759-1221",
            "fax_number": "630-759-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 W BOUGHTON RD",
            "address_2": "SUITE A",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405705",
            "telephone_number": "630-759-1221",
            "fax_number": "630-759-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selin Motan
• Vinod G Motiani, M.D.
• Moving Forward Pediatric Therapy
• Eric Moy, D.M.D.
• Nicholas S. Moy, M.D.
• MSRS Limo Inc
• Mstechify LLC
• Bhargav Mudda, M.D.
• Helen Mary Muddamalle, NP
• Mandeep Mudhar, MA, CRC, LCPC

• General Practice Dentistry in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.