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BRENT JEFFREY MOEGGENBORG DDS
NPI 1700928215
Dentist in Alma, MI

Active since February 12, 2007Opted out of Medicare · through Dec 16, 2027
226 N STATE STREET, ALMA, MI 48801(989) 463-5392(989) 463-3973 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brent Jeffrey Moeggenborg Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT JEFFREY MOEGGENBORG DDS (NPI 1700928215) is an individual dentist in Alma, Michigan, licensed in Michigan (D18900) and active in the NPI registry since February 2007. He has opted out of Medicare through December 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1700928215
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBRENT JEFFREY MOEGGENBORGCredential: DDS
Location Address226 N STATE STREETAlma, MI 48801
Mailing Address226 N State StreetAlma, MI 48801 · (989) 463-5392 · Fax (989) 463-3973
Phone(989) 463-5392
Fax(989) 463-3973
Sole ProprietorNo
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700928215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · D18900
Definition
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.
226 N STATE STREET, Alma, MI 48801
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brent Jeffrey Moeggenborg Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 16, 2015 through December 16, 2027.

Opt-Out Effective DateDecember 16, 2015
Opt-Out In Effect ThroughDecember 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA A WASSENAAR DDS
Dentist
226 N STATE STREET
ALMA, MI 48801
Gratiot County (989) 463-5392

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Moeggenborg's NPI number?

The NPI number for Brent Moeggenborg is 1700928215. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Brent Moeggenborg located?

Brent Moeggenborg practices at 226 N State Street, Alma, MI 48801. The listed phone number is (989) 463-5392.

What is Brent Moeggenborg's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Brent Moeggenborg enrolled in Medicare?

No. Brent Moeggenborg has opted out of Medicare through December 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Brent Moeggenborg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.