DR. KEVIN P MOONEY (NPI# 1750431177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750431177 |
| Entity Type | Individual |
| Full Name | DR. KEVIN P MOONEY |
| Credential | DDS |
| Practice Address |
10 Cedar St Ste 31 Woburn MA 01801-6365 |
| Practice Telephone | 7812819111 |
| Practice Fax Number | 7812819123 |
| Mailing Telephone | 7812819111 |
| Mailing Fax Number | 7819354804 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
16749 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | X11819 | 01 |
| MA | UNITED CONCORDIAN | 709783 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992013734 | Kevin Michael Mooney | Physical Therapist | 11 Berkshire St, Norfolk, MA 02056-1942 | 2010-09-14 |
| 1285608182 | Kevin K Mooney | Family Medicine | 72 Alexander Avenue, Lambertville, NJ 08530-2200 | 2006-02-15 |
| 1578949509 | Kevin Mooney | Physical Therapist | 2206 State St, Suite 300, New Albany, IN 47150-4925 | 2015-07-31 |
| Street Address |
10 CEDAR ST STE 31 |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-6365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427552504 | Alyssa Tarpy | Dentist | 10 Cedar St Ste 31, Woburn, MA 01801-6365 | 2018-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205474202 | Athena Dental Group Pllc | Dentist | 318 Montvale Ave Ste 100, Woburn, MA 01801-4648 | 2019-12-20 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1518482538 | Ivanka Ivanova Guigova | Dentist | 800 W Cummings Park Ste 1050, Woburn, MA 01801-6363 | 2017-08-10 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| 1154767374 | Colin Russell Brady | Dentist | 8 Cedar St Ste 65, Woburn, MA 01801-6362 | 2013-05-14 |
| 1538281449 | Mark Pernokas | Dentist | 8 Cedar Street, Suite 65, Woburn, MA 01801 | 2007-04-04 |
| 1861533762 | Sajeda Shaikh Malek | Dentist | 64 Revere Rd, Woburn, MA 01801-5356 | 2007-02-12 |
| 1487709614 | Robert Edward Hughes | Dentist | 109 Montvale Avenue, Woburn, MA 01801 | 2007-01-25 |
| 1689739989 | Lajuana M Calegan | Dentist | 7 Alfred St., Suite 125, Woburn, MA 01801 | 2006-12-27 |
| 1013928928 | Peter Nicholas Pignatiello | Dentist | 578 Main Street, Woburn, MA 01801 | 2006-08-10 |
| Find all providers in WOBURN | ||||
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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.