Jared William Mosley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54799 Issued in CA

Practice address

5094 N Fruit Ave
Suite #102
Fresno, CA 93711-3061

Phone

(559) 224-6437

Fax

(559) 224-2927

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083739189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5094 N FRUIT AVE",
            "address_2": "SUITE #102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113061",
            "telephone_number": "559-224-6437",
            "fax_number": "559-224-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5094 N FRUIT AVE",
            "address_2": "SUITE #102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113061",
            "telephone_number": "559-224-6437",
            "fax_number": "559-224-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "JARED",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Moser
• Nicholas Darcy Moser
• Marcus A Moses, PSYD
• Michelle Ray Moses, RN
• Michael James Mosier, MD
• Diana Giselle Mosqueda Barragan
• Brandie Mosqueda
• Cady Nicole Moss
• Joseph W Moss, D.D.S.
• Mai Uyen Thi Moss

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.