Minerva Maria Moran

Primary specialty

DentistTaxonomy code 122300000X

License

065023 Issued in NY

Practice address

9033 Elmhurst Ave FL 3
Jackson Heights, NY 11372-7935

Phone

(718) 505-6200

NPI assigned

May 2, 2024

Sex

Female

Sole proprietor

Yes

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

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.

• Smile by Design Dental Associates, PC

  • Dentist
  • Jackson Heights, NY
  • NPI 1548471378
  NPD (past)
• Unlv Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
  • NPI 1558764456

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1972350395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SHADOW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064124",
            "telephone_number": "702-583-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 ELMHURST AVE FL 3",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727935",
            "telephone_number": "718-505-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5645 Main St",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113555045",
            "country_code": "US",
            "telephone_number": "718-357-0194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MINERVA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "065023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Michael Montavon, PHARM.D.
• Maribel Montes, DDS
• Alysia Monteverde
• Luis G Montoro, MSED
• Monzila Rahman, MD PLLC
• Rosalind Kathryn Moran
• Christine Mordente, M.ED.
• Elina Morduhayev
• Edwin Henry Moreano, M.D.
• Rafael Segundo Moreira, LMHC

• Dentist in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; 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.