NPIMap

Organization Active NPI

Robert E Moses III DDS Inc

  • Dentist
  • Weatherford, OK
National Provider Identifier
1083763056
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3600 Issued in OK
Legal business name
ROBERT E MOSES III DDS INC
Practice address
1204 E Main St
Suite F
Weatherford, OK 73096
Phone
(580) 772-7747
Fax
(580) 772-0216
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert E Moses III, DDSNPI 1558481697
Title
President of Corporation
Phone
(580) 772-7747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3600 OK Primary

Addresses

Primary practice location

1204 E Main St
Suite F
Weatherford, OK 73096

Mailing address

1204 E Main St
Suite F
Weatherford, OK 73096
Phone (580) 772-7747

National Provider Directory

National Provider Directory

Locations

1204 E Main St
Ste F
Weatherford, OK 73096
Phone (580) 772-7747

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083763056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E MAIN ST",
            "address_2": "SUITE F",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "73096",
            "telephone_number": "580-772-7747",
            "fax_number": "580-772-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 E MAIN ST",
            "address_2": "SUITE F",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "73096",
            "telephone_number": "580-772-7747",
            "fax_number": "580-772-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E MOSES III DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "580-772-7747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "3600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.