Thomas Lee Mosley III, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10411 Issued in OR

Practice address

15925 SE Stark St
Portland, OR 97233-3525

Phone

(971) 757-6563

NPI assigned

Dec 8, 2015

Sex

Male

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East City Dental

  • Dentist
  • Portland, OR
  • NPI 1679388136
  NPD

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1134594781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15925 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333525",
            "telephone_number": "971-757-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15925 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333525",
            "telephone_number": "971-757-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-08",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Moskowitz, D.C.
• Megumi Nojima Moskowitz, D.C.
• Clarissa Mosley
• Courtney Leigh Mosley
• Lindsey T Mosley
• Erika Mosqueda Franco
• Lorena Mosqueda
• Moss and Moon Bodywork
• Abby Marie Moss
• Audrey Rock Moss, L.AC., LMT

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.