Gemma Shirani Mosher, ADT124/LDH7581

Primary specialty

Dental TherapistTaxonomy code 125J00000X

License

DT124 Issued in MN

Practice address

8960 Springbrook Dr NW
Coon Rapids, MN 55433-5852

Phone

(763) 600-6800

Fax

(763) 784-5978

NPI assigned

Aug 4, 2020

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

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1104436138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 SPRINGBROOK DR NW STE 150",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335810",
            "telephone_number": "763-600-6800",
            "fax_number": "763-784-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 SPRINGBROOK DR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335852",
            "telephone_number": "763-600-6800",
            "fax_number": "763-784-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHER",
        "first_name": "GEMMA",
        "middle_name": "SHIRANI",
        "credential": "ADT124/LDH7581",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125J00000X",
            "taxonomy_group": "",
            "desc": "Dental Therapist",
            "state": "MN",
            "license": "DT124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Frances Morris, LMFT
• Comassa Kollie Morris
• Patrick Tihinin Morris
• Teresa Morris, LMFT
• Jessica Lynn Morton, LMFT
• Nathaniel Scott Mosley, DPT
• Yeng You Moua
• Alyssa Shenyeng Moualee, PA-C
• Tonia Marie Mowbray-Donahue, M.D.
• Shayla Jane Mudgett

• Dental Therapist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Dental Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.