BRIAN MOONEY (NPI# 1972961399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972961399 |
Entity Type | Individual |
Full Name | BRIAN MOONEY |
Credential | D.D.S. |
Practice Address |
230 S 12th Ave Phoenix AZ 85007-3101 |
Practice Telephone | 6023620744 |
Mailing Telephone | 6023620744 |
Enumeration Date | 2016-01-29 |
Last Update Date | 2017-01-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D00948 | AZ | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750852588 | Brian Mooney | Nurse Practitioner | 310 Maryland Ave, Beckley, WV 25801-4226 | 2018-12-05 |
1962993279 | Brian Mooney | Contractor | 129 Longo Dr, Avondale, PA 19311-1432 | 2018-05-22 |
1346373354 | Brian C Mooney | Dentist | 241 Kennedy Dr, Torrington, CT 06790-3013 | 2007-03-13 |
1780685024 | Brian W Mooney | Psychiatry & Neurology | 100 S Ryan St, Lake Charles, LA 70601-5951 | 2005-08-09 |
1285832071 | Brian Mooney | Dentist | 1215 Lee St, Charlottesville, VA 22908-0001 | 2007-07-03 |
Street Address |
230 S 12TH AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85007-3101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104937606 | Kris Andrew Volcheck | Dentist | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2006-08-31 |
1114580354 | Bobby Keyvan-jafari | Student in an Organized Health Care Education/Training Program | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2019-04-14 |
1124581624 | Nashid F Ahmed | Dentist | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2019-04-11 |
1548775497 | Circle The City | Clinic/Center | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
1003336215 | James Nathan Mckenna | Dentist | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-06-20 |
1801328638 | Clayton Geoffrey Wainwright Jr. | Dentist | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-03-30 |
1487014965 | Brighter Way Institute | Dentist | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2016-02-26 |
1154780088 | Kristine Keber | Dentist | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2016-02-20 |
1063871317 | Cheryll Howard | Student in an Organized Health Care Education/Training Program | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2016-02-15 |
1568847267 | Michelle Dibaise | Physician Assistant | 230 S 12th Ave, Healthcare for The Homeless, Phoenix, AZ 85007-3101 | 2015-07-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861017824 | Tembre Eliza Delong | Student in an Organized Health Care Education/Training Program | 230 South 12th Ave, Phoenix, AZ 85007 | 2020-06-15 |
1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
1912358045 | Isabel Victoria Rodriguez | Speech-Language Pathologist | 2302 North 15th Avenue, Phoenix, AZ 85007 | 2016-06-30 |
1730441825 | Sara Joyce Edmund | Nurse Practitioner | 1424 S 7th Avenue, Phoenix, AZ 85007 | 2012-06-13 |
1295781771 | Ilin Chuang | Pediatrics | 150 N. 18th Ave., Suite 150, Arizona Depart. of Health Services, Phoenix, AZ 85007 | 2006-05-26 |
1518924802 | Michael James Higbee | Physician Assistant | 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 | 2006-04-28 |
1942278676 | David Paul Brown | Emergency Medicine | 1201 S 7 Avenue, Phoenix, AZ 85007 | 2006-03-09 |
1265409759 | Carol D Watkins | Emergency Medicine | 1201 S 7th Avenue, Phoenix, AZ 85007 | 2006-03-02 |
1982695615 | Mary Pat Nesbit | Emergency Medicine | 1201 S 7th Ave, Phoenix, AZ 85007 | 2005-11-02 |
Find all providers in zip 85007 |
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 |
---|---|---|---|---|
1881206274 | Totally Kids Dental P.C. | Dentist | 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 | 2020-08-18 |
1861989121 | Logan Mariano | Dentist | 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 | 2018-04-21 |
1972023372 | David Jourabchi | Dentist | 4550 E Bell Rd Ste 106, Phoenix, AZ 85032-9342 | 2017-06-27 |
1730639840 | Steven Petruzzi Dds Pllc | Dentist | 34406 N 27th Dr Ste 106, Phoenix, AZ 85085-7730 | 2016-10-12 |
1124401146 | Jennifer Canada | Dentist | 6725 N 35th Ave # 105, Phoenix, AZ 85017-1083 | 2015-07-08 |
1548654791 | Arlene Kewallal | Dentist | 1935 W Happy Valley Rd, Phoenix, AZ 85085-2884 | 2015-03-25 |
1134400880 | Norterra Pediatric Dental Partners, LLP | Dentist | 2217 W Happy Valley Rd Ste 100, Phoenix, AZ 85085-1604 | 2011-09-07 |
1558689703 | Hamed Rezakhan | Dentist | 4803 E Ray Rd, Suit P002c, Phoenix, AZ 85044-6496 | 2010-05-12 |
1417110750 | Shreekrishna Chaitanya Akilesh | Dentist | 10550 W Mariposa St, Phoenix, AZ 85037-5081 | 2008-07-07 |
1134345937 | Pda Holdings | Dentist | 1701 E Thomas Rd #204, Phoenix, AZ 85016 | 2007-04-18 |
Find all providers in PHOENIX |
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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.