DR. SERGIO MAURICIO MOELLER ZEVALLOS DDS, MS
NPI 1790970663
Dentist - Prosthodontics in Ann Arbor, MI

Q: What is Sergio Moeller Zevallos's NPI number?

The NPI number for Sergio Moeller Zevallos is 1790970663. It was assigned to this individual provider in the NPPES registry on September 13, 2007. The provider is also known as Mauricio Sergio Moeller Dds, Ms.

Q: What is Sergio Moeller Zevallos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Active since September 13, 2007PECOS Enrolled

2509 S STATE ST, ANN ARBOR, MI 48104(734) 662-7874(734) 662-1518 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Sergio Mauricio Moeller Zevallos Dds, Ms NPPES

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

DR. SERGIO MAURICIO MOELLER ZEVALLOS DDS, MS (NPI 1790970663) is an individual prosthodontics provider in Ann Arbor, Michigan, licensed in Michigan (2901018235) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790970663

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameDR. SERGIO MAURICIO MOELLER ZEVALLOSCredential: DDS, MS

Location Address2509 S STATE STAnn Arbor, MI 48104-6145

Mailing Address2509 S State StAnn Arbor, MI 48104-6145 · (734) 662-7874 · Fax (734) 662-1518

Phone(734) 662-7874

Fax(734) 662-1518

Sole ProprietorYes

Enumeration DateSeptember 13, 2007

Last NPPES UpdateDecember 1, 2016

✔ NPI 1790970663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in MI · 2901018235

Definition

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.

Also ListedDentistTaxonomy 122300000X · License 2901018235 (MI)

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2901018235 (MI)

2509 S STATE ST, Ann Arbor, MI 48104

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Other Names 1

Professional Name (2)Mauricio Sergio Moeller Dds, Ms

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sergio Mauricio Moeller Zevallos Dds, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48104 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 2

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

DR. JOHN CHARLES WEHR D.D.S.

Dentist (General Practice)

2509 S STATE ST
ANN ARBOR, MI 48104

Washtenaw County (734) 662-7874

MOELLER, P.C.

Dentist (General Practice)

2509 S STATE ST
ANN ARBOR, MI 48104

Washtenaw County (734) 662-7874

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 Sergio Moeller Zevallos's NPI number?

The NPI number for Sergio Moeller Zevallos is 1790970663. It was assigned to this individual provider in the NPPES registry on September 13, 2007. The provider is also known as Mauricio Sergio Moeller Dds, Ms.

Where is Sergio Moeller Zevallos located?

Sergio Moeller Zevallos practices at 2509 S State St, Ann Arbor, MI 48104. The listed phone number is (734) 662-7874.

What is Sergio Moeller Zevallos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Sergio Moeller Zevallos enrolled in Medicare?

Yes. Sergio Moeller Zevallos is registered in the Medicare PECOS enrollment system.

What insurance does Sergio Moeller Zevallos accept?

Health plans from Guardian list Sergio Moeller Zevallos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sergio Moeller Zevallos was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.