NPIMap

Organization Active NPI

Moss Dentistry, LLC

  • Dental Clinic/Center
  • Maryville, TN
National Provider Identifier
1144653023
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9268 Issued in TN
Legal business name
MOSS DENTISTRY, LLC
Doing business as
Emert-Moss Dentistry
Practice address
1916 E Lamar Alexander Pkwy
Maryville, TN 37804-5284
Phone
(865) 983-4642
Fax
(865) 983-9925
NPI assigned
Aug 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Dr. Whittaker B Moss, DDSNPI 1740571421
Title
President
Phone
(865) 983-4642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 9268 TN Primary

Addresses

Primary practice location

1916 E Lamar Alexander Pkwy
Maryville, TN 37804-5284

Mailing address

1916 E Lamar Alexander Pkwy
Maryville, TN 37804-5284
Phone (865) 983-4642

Other names 1

  • Emert-Moss Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1916 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 983-4642

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1144653023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045284",
            "telephone_number": "865-983-4642",
            "fax_number": "865-983-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045284",
            "telephone_number": "865-983-4642",
            "fax_number": "865-983-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "WHITTAKER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-983-4642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "9268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emert-Moss Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.