DR. CAROL LYNN MORENO (NPI# 1174635221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174635221 |
| Entity Type | Individual |
| Full Name | DR. CAROL LYNN MORENO |
| Credential | D.D.S |
| Practice Address |
1205 N Columbus St West Liberty IA 52776-9601 |
| Practice Telephone | 3196272612 |
| Practice Fax Number | 3196272178 |
| Mailing Telephone | 3196272612 |
| Mailing Fax Number | 3196272178 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6899 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1216853 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644073 | Carol Neff Moreno | Family Medicine | 500 Lilly Rd Ne, Olympia, WA 98506-5195 | 2019-05-13 |
| 1295020006 | Carol Moreno | Counselor | 504 W 29th St, Tucson, AZ 85713-3353 | 2011-06-09 |
| Street Address |
1205 N COLUMBUS ST |
| City | WEST LIBERTY |
| State | IA |
| Zip Code | 52776-9601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376037291 | Carolyn Ann Duong | Dentist | 1205 N Columbus St, West Liberty, IA 52776-9601 | 2018-06-15 |
| 1396056685 | Roberto Alexis Moreno | Dentist | 1205 N Columbus St, West Liberty, IA 52776-9601 | 2010-07-01 |
| 1932376191 | Gentle Family Dentists | Clinic/Center | 1205 N Columbus St, West Liberty, IA 52776-9601 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134191620 | Dana Lynn Nelson | Chiropractor | 1103 N Elm St, Suite 102, West Liberty, IA 52776-1006 | 2006-02-07 |
| 1700096989 | Active Health Chiropractic Clinic, P.C. | Chiropractor | 1103 N Elm St, Ste 102, West Liberty, IA 52776-1006 | 2007-05-23 |
| 1366512352 | Thompson & Thompson Long Term Care Inc | Pharmacy | 311 W Rainbow Dr, Suite 1, West Liberty, IA 52776-1013 | 2006-11-08 |
| 1285144725 | Hy Vee Inc | Pharmacy | 311 W Rainbow Dr, West Liberty, IA 52776-1013 | 2017-10-11 |
| 1942242920 | Dianna L Sprague | Physician Assistant | 1401 Crees St, West Liberty, IA 52776-1029 | 2006-06-12 |
| 1477065332 | Mercy Services Iowa City, Inc. | Clinic/Center | 1401 Crees St, West Liberty, IA 52776-1029 | 2017-11-01 |
| 1508111402 | David R Sheff | Family Medicine | 1401 Crees St, West Liberty, IA 52776-1029 | 2012-07-17 |
| 1437479771 | Christopher Callahan Schuster | Family Medicine | 1401 Crees St, West Liberty, IA 52776-1029 | 2010-06-09 |
| 1184800021 | Christine Blake | Nurse Practitioner | 1401 Crees St, West Liberty, IA 52776-1029 | 2008-01-10 |
| 1518909787 | Lauren E Hanna | Family Medicine | 1401 Crees St, West Liberty, IA 52776-1029 | 2006-06-12 |
| Find all providers in zip 52776 | ||||
| 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 |
|---|---|---|---|---|
| 1255426698 | Michael John Tharp | Dentist | 101 West Third Street, West Liberty, IA 52776-1405 | 2006-10-03 |
| 1912550666 | Melanie Womachka | Dentist | 101 W 3rd St, West Liberty, IA 52776-1405 | 2019-07-22 |
| 1376037291 | Carolyn Ann Duong | Dentist | 1205 N Columbus St, West Liberty, IA 52776-9601 | 2018-06-15 |
| 1396056685 | Roberto Alexis Moreno | Dentist | 1205 N Columbus St, West Liberty, IA 52776-9601 | 2010-07-01 |
| 1083823306 | Walter Blevins Jr. | Dentist | 777 Broadway St, West Liberty, KY 41472-1109 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400106 | Samantha Wagler | Dentist | 923 6th Avenue, Dewitt, IA 52742 | 2020-09-03 |
| 1295343804 | Gabrielle Genevieve Henry | Dentist | 401 Haganman Ln, Solon, IA 52333-9760 | 2020-07-20 |
| 1942827811 | Kalona Family Dental, Plc | Dentist | 1206 E Ave, Kalona, IA 52247-9767 | 2020-06-26 |
| 1245856582 | Reena Patel | Dentist | 401 S Gear Ave Ste 101, West Burlington, IA 52655-1067 | 2020-06-23 |
| 1679199574 | Flora Yu Harn Yen | Dentist | 3602 Ne Otterview Cir, Ankeny, IA 50021-7773 | 2020-06-17 |
| 1679198030 | Colin Earl Odland | Dentist | 1089 Jordan Creek Pkwy Ste 100, West Des Moines, IA 50266-5829 | 2020-06-11 |
| 1124653860 | Chase Frei | Dentist | 2615 S Center St, Marshalltown, IA 50158-4501 | 2020-03-03 |
| 1649828344 | Stephanie Jo Heyland | Dentist | 4723 Avenue J, Fort Madison, IA 52627-9511 | 2019-08-27 |
| 1952958167 | Skyline Dental Services, LLC | Dentist | 2180 W Kimberly Rd # 8, Davenport, IA 52806-5368 | 2019-08-22 |
| 1386296671 | Dillon Wesley Schloerb | Dentist | 1606 Golden Aspen Dr Ste 110, Ames, IA 50010-8011 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | WEST LIBERTY |
| Zip Code | 52776 |
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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.