DARREL L MOONEY (NPI# 1144232869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144232869 |
| Entity Type | Individual |
| Full Name | DARREL L MOONEY |
| Credential | D.D.S. , F.A.C.P. |
| Practice Address |
314 W Bannock St Boise ID 83702-6032 |
| Practice Telephone | 2083369333 |
| Practice Fax Number | 2083871951 |
| Mailing Telephone | 2083369333 |
| Mailing Fax Number | 2083871951 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
D1650PR | ID | Dental Providers |
| Street Address |
314 W BANNOCK ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-6032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194737825 | Roseann T Mooney | Dentist | 314 W Bannock St, Boise, ID 83702-6032 | 2006-08-12 |
| 1831101518 | Capitol Dental, PC | Dentist | 314 W Bannock St, Boise, ID 83702-6032 | 2006-08-12 |
| 1801808514 | Kenneth G Baranco | Dentist | 314 W Bannock St, Boise, ID 83702-6032 | 2006-08-12 |
| 1902818644 | Ryan K Doyle | Dentist | 314 W Bannock St, Boise, ID 83702-6032 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043221393 | Linda Jean Ruppel | Dentist | 7669 Emerald St, Boise, ID 83704-9018 | 2006-08-11 |
| 1790049286 | Michael Lynn Gurney | Dentist | 1000 N Curtis Rd, Suite 203, Boise, ID 83706-1337 | 2012-06-28 |
| 1578588364 | Braden M Stauts | Dentist | 1000 N Curtis Rd, Suite 203, Boise, ID 83706-1337 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275736522 | Idaho Prosthodontics | Dentist | 347 Crooked Ear Ct, Sandpoint, ID 83864-9477 | 2007-06-06 |
| 1740511344 | Robert Schroetlin | Dentist | 1215 E 6th St, Moscow, ID 83843-3705 | 2010-01-20 |
| 1710147087 | Darrel and Roseann Mooney | Dentist | 1323 Michigan St, Sandpoint, ID 83864-1747 | 2008-06-11 |
Please comment or provide details below to improve the information on DARREL L MOONEY.
| 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.