Active NPI
Destiny Cheyenne Moser
- Dentist
- Westerly, RI
National Provider Identifier
1104510296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN03787
- Practice address
- 130 Granite St
Westerly, RI 02891-2495 - Phone
- (401) 596-2848
- NPI assigned
- Jun 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN03787 | RI | Primary |
Addresses
Primary practice location
130 Granite St
Westerly, RI 02891-2495
Mailing address
12 High St Apt 208
Westerly, RI 02891-2369
Phone (205) 934-3387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN03787 | RI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1104510296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 HIGH ST APT 208",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912369",
"telephone_number": "205-934-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 GRANITE ST",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912495",
"telephone_number": "401-596-2848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "DESTINY",
"middle_name": "CHEYENNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-02",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "DEN03787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westerly, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.