Moss Orthodontics, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1133 Issued in WY

Legal business name

MOSS ORTHODONTICS, PC

Practice address

613 Yellowstone Ave Ste B
Cody, WY 82414-9366

Phone

(307) 587-9009

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Mathew Moss, DDS, MS

Title

Owner

Phone

(307) 587-9009

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1104308030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 YELLOWSTONE AVE STE B",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149366",
            "telephone_number": "307-587-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 YELLOWSTONE AVE STE B",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149366",
            "telephone_number": "307-587-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-587-9009",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WY",
            "license": "1133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Fenton Montville
• Leonard Ray Moore, DDS
• Kathryn R Morris, LICSW
• Jennifer Morrison
• Douglas Earl Morton, M.D.
• Mathew A Moss, D.D.S., P.C.
• Jamaica Santos Moulton, LPC
• Moving on Therapy, PC
• Gabrielle Murray
• John Murray, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Cody, WY
• Providers in Cody, WY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.