Chelsea Cross Momany, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60670481 Issued in WA

Practice address

2921 5TH Ave NE
Ste 110
Puyallup, WA 98372-7044

Phone

(253) 200-5553

NPI assigned

Aug 16, 2016

Sex

Female

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

Opted out of Medicare

Yes, effective Jan 18, 2022 through Jan 18, 2028

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.

• Levi Reynolds DDS PLLC

  • Dental Clinic/Center
  • Puyallup, WA
  • NPI 1013675271
  NPD (past)
• Steven J Urback DDS Magd PS

  • General Practice Dentistry
  • Puyallup, WA
  • NPI 1114045804
  NPD (past)

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1992250260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 S CUSHMAN AVE",
            "address_2": "UNIT A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053664",
            "telephone_number": "509-435-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 5TH AVE NE",
            "address_2": "STE 110",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983727044",
            "telephone_number": "253-200-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMANY",
        "first_name": "CHELSEA",
        "middle_name": "CROSS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60670481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Moffitt
• Sara Anne Mohagen, DPT
• Jocelle Janice Tin Molina
• Molleston Luke Counseling LTD.
• Alexandra Molleston Luke, MA
• Jennifer A Monahan, DPT
• Erin Moncada
• Gladys Ruby Mondragon
• Floyd Monen, R.PH.
• Aida Montalvo

• Dentist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.