Active NPI
Morning Star Dental PA
- General Practice Dentistry
- Caldwell, ID
National Provider Identifier
1114069903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D-3237
- Legal business name
- MORNING STAR DENTAL PA
- Practice address
- 4105 Clock Tower Ave
Caldwell, ID 83607-5006 - Phone
- (208) 455-9498
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darin R Mooso, DDS
- Title
- Dentist
- Phone
- (208) 455-9498
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D-3237 | ID | Primary |
Addresses
Primary practice location
4105 Clock Tower Ave
Caldwell, ID 83607-5006
Mailing address
9776 W State St
Star, ID 83669-5766
Phone (208) 455-9498
National Provider Directory
National Provider DirectoryLocations
9776 W State St
Star, ID 83669
Phone (208) 898-4080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114069903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9776 W STATE ST",
"city": "STAR",
"state": "ID",
"postal_code": "836695766",
"telephone_number": "208-455-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 CLOCK TOWER AVE",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836075006",
"telephone_number": "208-455-9498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORNING STAR DENTAL PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOOSO",
"authorized_official_first_name": "DARIN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "208-455-9498",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D-3237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
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.