Individual provider Active NPI

Patricia Ann Moss, D.D.S.

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1124109772
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401006130 Issued in VA
Practice address
6714 Patterson Ave
Suite 201
Richmond, VA 23226-3432
Phone
(804) 282-3197
Fax
(804) 285-4634
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401006130 VA Primary

Addresses

Primary practice location

6714 Patterson Ave
Suite 201
Richmond, VA 23226-3432

Mailing address

216 Overlook Road
Richmond, VA 23229-8511
Phone (804) 282-6257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709000234 VA Order and Referring Only - DentistPractitioner - Dentist 1850603515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124109772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 OVERLOOK ROAD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232298511",
            "telephone_number": "804-282-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 PATTERSON AVE",
            "address_2": "SUITE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263432",
            "telephone_number": "804-282-3197",
            "fax_number": "804-285-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.