DR. JACOB HASKELL MOBERLY (NPI# 1891825162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891825162 |
| Entity Type | Individual |
| Full Name | DR. JACOB HASKELL MOBERLY |
| Credential | DDS |
| Practice Address |
2000 W 21st St Ste L1 Clovis NM 88101-4087 |
| Practice Telephone | 5057620986 |
| Practice Fax Number | 5057630418 |
| Mailing Telephone | 5057620986 |
| Mailing Fax Number | 5057630418 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 701 | NM | Dental Providers |
| Street Address |
2000 W 21ST ST STE L1 |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601498 | Debra L Cyphert | Nurse Practitioner | 2000 W 21st St, Suite E3, Clovis, NM 88101-4087 | 2005-06-30 |
| 1093261455 | Eastern New Mexico Endodontics, PC | Clinic/Center | 2000 W 21st St, Suite L1, Clovis, NM 88101-4087 | 2016-08-26 |
| 1184011389 | A Romero Enterprises L.L.C. | Clinic/Center | 2000 W 21st St, Suite E3, Clovis, NM 88101-4087 | 2015-04-25 |
| 1396131611 | Annette Ternes | Registered Nurse | 2000 W 21st St, Suite E3, Clovis, NM 88101-4087 | 2015-04-14 |
| 1821492638 | Melissa Ashley Sprinkle | Nurse Practitioner | 2000 W 21st St, Suite A-1, Clovis, NM 88101-4087 | 2014-10-22 |
| 1952732125 | Nicole T. Musshorn | Advanced Practice Midwife | 2000 W 21st St, Ste A-1, Clovis, NM 88101-4087 | 2013-12-12 |
| 1316228265 | Larissa A Juberg | Advanced Practice Midwife | 2000 W 21st St, Ste A-1, Clovis, NM 88101-4087 | 2011-09-06 |
| 1821272394 | Sarah Jo Welch | Dentist | 2000 W 21st St, Suite L1, Clovis, NM 88101-4087 | 2007-12-20 |
| 1538209994 | Mahamadu Fuseini | Internal Medicine | 2000 W 21st St, Clovis, NM 88101-4087 | 2007-02-07 |
| 1457498321 | Eye Associates of New Mexico, Ltd. | Optometrist | 2000 W 21st St, Suite R-1, Clovis, NM 88101-4087 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114584158 | Sai Fan Yu | Dentist | 334 Shaw Ave Ste 125, Clovis, CA 93612-3865 | 2019-05-24 |
| 1912491481 | Savera Mann | Dentist | 5640 E Shepherd Ave, Clovis, CA 93619-4210 | 2018-06-19 |
| 1629452560 | Kaou Hallak Dental Corp | Dentist | 1550 Shaw Ave, Clovis, CA 93611-4028 | 2015-07-09 |
| 1366841793 | Noel G Stoker | Dentist | 1095 Herndon Ave Ste 102, Clovis, CA 93612-0504 | 2014-08-21 |
| 1700132305 | Vishalakshi Sriram | Dentist | 1124 Pierce Dr Apt 1, Clovis, CA 93612-1543 | 2012-08-01 |
| 1770890071 | Charles Robert Stocks | Dentist | 255 W Bullard Ave #106, Clovis, CA 93612-0861 | 2010-09-08 |
| 1831410745 | New Mexico Smiles, Inc. | Dentist | 3812 Benjamin Davis Dr, Clovis, NM 88101-2721 | 2010-06-15 |
| 1053548263 | Vatche Sarkis Wassilian | Dentist | 1504 Shaw Ave, Clovis, CA 93611-4028 | 2009-06-15 |
| 1679735831 | Marie-helene Morin | Dentist | 1010 Shaw Ave, Suite B, Clovis, CA 93612 | 2008-06-30 |
| 1033384466 | Brent David Powell | Dentist | 5656 E Lebanon Ave, Clovis, CA 93619-9519 | 2008-04-27 |
| Find all providers in CLOVIS | ||||
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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.