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DR. CONNOR DEACON MOONEY MD
NPI 1912636317
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since June 09, 2022PECOS Enrolled
128 E. APPLE ST. WCHE 7TH FLOOR, DAYTON, OH 45409(937) 208-2951 Get Directions Write a Review

NPPES record last updated: February 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 8, 2026, Jun 9, 2022 (2 updates tracked since 2022).

About Dr. Connor Deacon Mooney Md NPPES

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

DR. CONNOR DEACON MOONEY MD (NPI 1912636317) is an individual student in an organized health care education/training program in Dayton, Ohio, licensed in Ohio (35.151631) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912636317
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CONNOR DEACON MOONEYCredential: MD
Location Address128 E. APPLE ST. WCHE 7TH FLOORDayton, OH 45409
Mailing Address128 E. Apple St. Wche 7th FloorDayton, OH 45409
Phone(937) 208-2951
Sole ProprietorNo
Enumeration DateJune 9, 2022
Last NPPES UpdateFebruary 8, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2026
✔ NPI 1912636317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OH · 35.151631
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

128 E. APPLE ST. WCHE 7TH FLOOR, Dayton, OH 45409
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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. Connor Deacon Mooney Md 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.

Other Providers at the Same Location NPPES

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

LIANA SALEH
Surgery
128 E. APPLE ST. WCHE 7TH FLOOR
DAYTON, OH 45409
Montgomery County (567) 224-1254

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 Connor Mooney's NPI number?

The NPI number for Connor Mooney is 1912636317. It was assigned to this individual provider in the NPPES registry on June 9, 2022.

Where is Connor Mooney located?

Connor Mooney practices at 128 E. Apple St. Wche 7th Floor, Dayton, OH 45409. The listed phone number is (937) 208-2951.

What is Connor Mooney's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Connor Mooney enrolled in Medicare?

Yes. Connor Mooney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Mooney was last updated on February 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.