MICHAEL LEONOWICH MORENO (NPI# 1619906492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619906492 |
| Entity Type | Individual |
| Full Name | MICHAEL LEONOWICH MORENO |
| Credential | D.M.D |
| Practice Address |
7939 Honeygo Blvd Suite 227 Baltimore MD 21236-4931 |
| Mailing Address |
10312 Hickory Ridge Rd Apt 226 Columbia MD 21044-4615 |
| Practice Telephone | 4109310250 |
| Practice Fax Number | 4109314876 |
| Mailing Telephone | 4109926798 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
13589 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255879102 | Michael Moreno | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2017-02-10 |
| 1518116953 | Michael Christopher Moreno | Nurse Anesthetist, Certified Registered | 700 18th St S, Birmingham, AL 35233-1856 | 2008-09-10 |
| 1124284831 | Michael A Moreno | Psychiatry & Neurology | 600 S Paulina St, Suite 527 Acfac, Chicago, IL 60612-3806 | 2008-08-01 |
| 1790837151 | Michael R. Moreno | Family Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-17 |
| 1356422000 | Michael Robert Moreno | Dentist | 3427 Deer Park Dr, Suite #c, Stockton, CA 95219-2355 | 2006-10-18 |
| Street Address |
7939 HONEYGO BLVD SUITE 227 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21236-4931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215464086 | Claudia A Catano | Physical Therapist | 7939 Honeygo Blvd, Suite 131, Baltimore, MD 21236-5905 | 2017-05-11 |
| 1801137740 | Eldorado Hair Etc. | Durable Medical Equipment & Medical Supplies | 7939 Honeygo Blvd, Suite 228, Baltimore, MD 21236-4931 | 2013-03-01 |
| 1215169008 | Christopher Vivona | Dentist | 7939 Honeygo Blvd, Suite 227, Baltimore, MD 21236-4931 | 2009-08-13 |
| 1124276522 | Soham Patel | Dentist | 7939 Honeygo Blvd, Suite 227, Baltimore, MD 21236-4931 | 2008-08-28 |
| 1437341856 | Afua Somua Mireku | Dentist | 7939 Honeygo Blvd, Suite 227, Baltimore, MD 21236-4931 | 2007-08-10 |
| 1861550519 | Drs Golden & Matz LLC | Allergy & Immunology | 7939 Honeygo Blvd, Suite 219, Baltimore, MD 21236-4931 | 2006-12-05 |
| 1609969708 | David B.k. Golden | Allergy & Immunology | 7939 Honeygo Blvd, Suite 219, Baltimore, MD 21236-4931 | 2006-10-02 |
| 1821181959 | Marietta King | Nurse Practitioner | 7939 Honeygo Blvd, Suite 219, Baltimore, MD 21236-4931 | 2006-10-02 |
| 1558395483 | Endodontics, P.a. | Dentist | 7939 Honeygo Blvd, Baltimore, MD 21236-4931 | 2006-07-10 |
| 1578595609 | Charles Herbert | Dentist | 7939 Honeygo Blvd, Suite 227, Baltimore, MD 21236-4931 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003209875 | Stanley Klein | Dentist | 2215 Ken Oak Road, Baltimore, MD 21209 | 2015-03-18 |
| 1649561051 | Priya Chand | Dentist | 650 W Baltimore St Rm 4215, University of Maryland Dental School, Baltimore, MD 21201-1510 | 2011-04-20 |
| 1376775510 | Dr. David M. Vieth 2, PC | Dentist | 7839 Eastpoint Mall Ste 7842, Baltimore, MD 21224-2116 | 2009-08-21 |
| 1235364845 | Dr. David M. Vieth 2, PC | Dentist | 4173 Patterson Ave, Baltimore, MD 21215-2221 | 2009-05-27 |
| 1073774022 | Dr. David M. Vieth 2, PC | Dentist | 2429 Frederick Ave, Baltimore, MD 21223-2856 | 2008-06-23 |
| 1083812150 | Stanley H Klein Dds Pa | Dentist | 2215 Ken Oak Rd., Baltimore, MD 21209 | 2007-07-10 |
| 1285753897 | Morris Lamar Hicks | Dentist | 650 W Baltimore, University of Maryland Dental School, Department of Endodontics, Prosthodontics & Oper. Dent., Baltimore, MD 21201 | 2007-03-28 |
| 1689718751 | Alexandra Antonopoulou | Dentist | 7 New Forest Ct, Baltimore, MD 21286-1741 | 2007-02-20 |
| 1992854152 | James Lee Hiatt | Dentist | 1101 North Point Blvd, Ste 126 2nd Floor, Baltimore, MD 21224-3417 | 2007-01-09 |
| 1093818197 | George Delgado | Dentist | 1006 Ingleside Ave, Baltimore, MD 21228-1317 | 2006-09-06 |
| Find all providers in BALTIMORE | ||||
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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.