Tina Perry Moses, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN012036 Issued in GA

Practice address

1240 Augusta West Pkwy
Augusta, GA 30909-1854

Phone

(706) 863-6262

Fax

(706) 863-6465

NPI assigned

Jun 6, 2006

Sex

Female

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 SC

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

Locations

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.

• Rural Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Aiken, SC
  • NPI 1447530431
  Medicare reassignment NPD
• Tina P. Moses, DMD, PC

  • Pediatric Dentistry
  • Augusta, GA
  • NPI 1336349166
  NPD (past) Authorized official
• Rural Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Beech Island, SC
  • NPI 1790846608
  NPD

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073552683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 WINDMILL PKWY",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096664",
            "telephone_number": "706-863-4524",
            "fax_number": "706-863-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091854",
            "telephone_number": "706-863-6262",
            "fax_number": "706-863-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "TINA",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZG2036",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roy Keith Morrison, OTR
• Allegra Renee Morrow, M. ED.
• Steven Wayne Morse, RN
• Marian Moseley, PH D
• Mirrial Jane Moses, D.M.D.
• Cameron Mosley, PH.D.
• Nathaniel Kenneth Mosley, MD
• Regina Lashaun Mosley, RN
• Rina Patel Mosley, D.O.
• Patricia B. Moss, APRN,CS,BC, LPC, NCC

• Dentist in Augusta, GA
• Providers in Augusta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.