Erin A Moseley, D.M.D

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2259 Issued in MT

Practice address

80 Four Mile Dr
#15
Kalispell, MT 59901-2665

Phone

(406) 257-3647

Fax

(406) 257-3675

NPI assigned

Jun 19, 2008

Sex

Female

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

Enrolled in MT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Glacier Valley Endodontics

  • Dental Clinic/Center
  • Kalispell, MT
  • NPI 1750905063
  NPD (past) Authorized official

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1154582401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FOUR MILE DR",
            "address_2": "#15",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012665",
            "telephone_number": "406-257-3647",
            "fax_number": "406-257-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FOUR MILE DR",
            "address_2": "#15",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012665",
            "telephone_number": "406-257-3647",
            "fax_number": "406-257-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSELEY",
        "first_name": "ERIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MT",
            "license": "2259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacia Adair Moore, AU.D.
• Chlotielde Moran, DDS
• Eden Maliamae Morin, M.ED.
• Laurie Jean Morrison
• Lisa Kate Morrow, LMT
• Alexander Moses, PA-S
• Jessica Rachel Mosier, M.D.
• Mountain Physical Therapy and Fitness Center LLC
• Mountain Physical Therapy, P.C.
• Mountain Physical Therapy, PC

• Endodontics in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Endodontics in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.