DR. NICOLE ELENI MOONEY (NPI# 1366535544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366535544 |
| Entity Type | Individual |
| Full Name | DR. NICOLE ELENI MOONEY |
| Credential | DDS |
| Practice Address |
1425 Portland Ave Rochester NY 14621-3001 |
| Practice Telephone | 5859223553 |
| Mailing Telephone | 5859223553 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
052299 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02683365 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801453667 | Nicole Leigh Mooney | Behavior Technician | 1414 Calder Rd, Key Largo, FL 33037-2805 | 2019-05-28 |
| 1215486832 | Nicole Mooney | Counselor | 30 Gilbert Ave, Niles, OH 44446-3305 | 2016-09-23 |
| 1205959822 | Nicole Joy Mooney | Case Manager/Care Coordinator | 1407 Saint Andrew St, Ste 100, La Crosse, WI 54603-3301 | 2007-04-09 |
| 1134156748 | Nicole E Mooney | Specialist/Technologist | 4307 Ball Camp Pike, Knoxville, TN 37921-3313 | 2006-06-27 |
| Street Address |
1425 PORTLAND AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697605 | Joseph David Silverberg | Ophthalmology | 1425 Portland Ave, Rochester, NY 14621-3001 | 2005-05-24 |
| 1598372443 | Chengu Niu | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-09-24 |
| 1194339085 | Latanya Denise Brown | Licensed Practical Nurse | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-09-08 |
| 1487267134 | Roberto M Voica | Pharmacist | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-08-24 |
| 1538770102 | Utsav Joshi | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-08-16 |
| 1952911687 | Ido Goldenberg | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-08-06 |
| 1669081378 | Carlos Alejandro Portales Castillo | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-28 |
| 1427667617 | Varun Bhalla | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-23 |
| 1871101550 | Tamer Salhab Altamimi | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-17 |
| 1508474628 | Hafsa Faisal | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789639 | Small To Tall, Dentistry for Children, Pllc | Dentist | 3171 Chili Ave Ste 400, Rochester, NY 14624-5440 | 2018-11-13 |
| 1366829541 | Andrew B Winslow | Dentist | 625 Elmwood Ave., Rochester, NY 14620 | 2015-04-27 |
| 1609272822 | Rochester Pediatric Dentistry LLC | Dentist | 1705 S Boradway Ave Ste B, Rochester, MN 55904-7960 | 2014-11-16 |
| 1336427384 | Cynthia Laurel Wong | Dentist | 2400 South Clinton Avenue, Suite 125, Rochester, NY 14620 | 2011-07-25 |
| 1477843936 | Kelly A Jones | Dentist | 1705 Broadway Ave S Ste B, Rochester, MN 55904-7960 | 2011-04-18 |
| 1528267242 | Lindsey Keck | Dentist | 261 Averill Ave, Rochester, NY 14620-1301 | 2007-07-12 |
| 1114076619 | Dentistry for Children and Adolescents, Ltd. | Dentist | 2743 Superior Dr Nw, Rochester, MN 55901-1773 | 2007-01-10 |
| 1376646604 | David P. Durr | Dentist | 2061 Ridge Rd W, Rochester, NY 14626-2782 | 2006-09-05 |
| 1306948443 | Daniel H Glowinsky | Dentist | 3171 Chili Ave, Suite 400, Rochester, NY 14624 | 2006-09-01 |
| 1174638183 | Thomas C Burm Jr. | Dentist | 523 Beahan Rd, Rochester, NY 14624-3403 | 2006-08-20 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.