NPIMap

Organization Active NPI

John D. Mose III D.D.S. P.C.

Doing business as Mose Family Dentistry

  • Dentist
  • Tulsa, OK
National Provider Identifier
1013150242
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5674 Issued in OK
Legal business name
JOHN D. MOSE III D.D.S. P.C.
Doing business as
Mose Family Dentistry
Practice address
8316 E 61St St
Suite 109
Tulsa, OK 74133-1910
Phone
(918) 294-9750
Fax
(918) 249-1265
NPI assigned
Apr 17, 2009
Last updated
Apr 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Dee Mose, D.D.S.NPI 1982647624
Title
President
Phone
(918) 294-9750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5674 OK Primary

Addresses

Primary practice location

8316 E 61St St
Suite 109
Tulsa, OK 74133-1910

Mailing address

8316 E 61St St
Suite 109
Tulsa, OK 74133-1910
Phone (918) 294-9750

Other names 1

  • Mose Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8316 E 61st St
Ste 109
Tulsa, OK 74133
Phone (918) 294-9750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1013150242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 E 61ST ST",
            "address_2": "SUITE 109",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331910",
            "telephone_number": "918-294-9750",
            "fax_number": "918-249-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 E 61ST ST",
            "address_2": "SUITE 109",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331910",
            "telephone_number": "918-294-9750",
            "fax_number": "918-249-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. MOSE III D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "MOSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-294-9750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mose Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.