Active NPI
Mindy May Moser, D.D.S.
- Dentist
- Wichita Falls, TX
National Provider Identifier
1124427331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30203
- Practice address
- 1414 Kemp Blvd
Wichita Falls, TX 76309-2251 - Phone
- (940) 723-1301
- NPI assigned
- Aug 14, 2014
- 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 | 30203 | TX | Primary |
Addresses
Primary practice location
1414 Kemp Blvd
Wichita Falls, TX 76309-2251
Mailing address
1018 City View Dr
#4
Wichita Falls, TX 76306-5845
Phone (940) 733-6845
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 |
|---|---|---|---|
| 30203 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1124427331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 CITY VIEW DR",
"address_2": "#4",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763065845",
"telephone_number": "940-733-6845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 KEMP BLVD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763092251",
"telephone_number": "940-723-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "MINDY",
"middle_name": "MAY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.