Kirk Duncan Mosley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2671 Issued in AZ

Practice address

3260 N Toltec Rd
Eloy, AZ 85231-9617

Phone

(520) 466-3920

Fax

(520) 466-3921

NPI assigned

Jan 19, 2007

Last updated

May 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Tuba City Regional Health Care Corporation

  dba Tuba City Indian Medical Center

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424

  General Practice, TX

  Medicare reassignment NPD
• Kirk D. Mosley

  dba Eloydentist.com

  • Dentist
  • Eloy, AZ
  • NPI 1316279516
  NPD (past) Authorized official
• Tuba City Regional Health Care Corporation

  dba Bodaway Gap Clinic

  • Family Medicine Physician
  • Bodaway Gap, AZ
  • NPI 1710519913
  NPD
• Precious Dental Service PLC

  • General Practice Dentistry
  • Eloy, AZ
  • NPI 1144607896
  NPD (past)
• Chickasaw Nation Division of Health

  dba Chickasaw Nation Medical Center

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1255364923
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1063565141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "ELOY",
            "state": "AZ",
            "postal_code": "852310021",
            "telephone_number": "520-466-3920",
            "fax_number": "520-466-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 N TOLTEC RD",
            "city": "ELOY",
            "state": "AZ",
            "postal_code": "852319617",
            "telephone_number": "520-466-3920",
            "fax_number": "520-466-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "KIRK",
        "middle_name": "DUNCAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "091992",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luminaria, LLC
• Luminaria, LLC
• Leticia Federico Martinez, LPC
• Manuel L. Medina, PH.D.
• Roy Montgomery, PA-C
• Stacy Jean Murray, SLPA
• Malcolm Nasirah, PHARM.D
• Richard Nicholas Peterson, PA
• Pinal County Arizona
• Pinal Hispanic Council

• General Practice Dentistry in Eloy, AZ
• Providers in Eloy, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.