Individual provider Active NPI

Megan L Nevills Moseley, DMD

  • General Practice Dentistry
  • Beaverton, OR
National Provider Identifier
1023458643
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9878 Issued in OR
Practice address
14500 SW Murray Scholls Dr Ste 101
Beaverton, OR 97007-9277
Phone
(503) 521-1333
Fax
(503) 524-9777
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D9878 OR
General Practice Dentistry 1223G0001X D9878 OR Primary

Addresses

Primary practice location

14500 SW Murray Scholls Dr Ste 101
Beaverton, OR 97007-9277

Mailing address

14500 SW Murray Scholls Dr Ste 101
Beaverton, OR 97007-9277
Phone (503) 521-1333

Other names 1

  • Megan Moseley Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619000017 OR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2769793694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9878ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nevills Family Dentistry, PC General Practice Past Accepting new patients
Murrayhill Dental PC Dentist PastSince Mar 9, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1023458643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 SW MURRAY SCHOLLS DR STE 101",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079277",
            "telephone_number": "503-521-1333",
            "fax_number": "503-524-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 SW MURRAY SCHOLLS DR STE 101",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079277",
            "telephone_number": "503-521-1333",
            "fax_number": "503-524-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVILLS MOSELEY",
        "first_name": "MEGAN",
        "middle_name": "L",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9878",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MOSELEY",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.