Individual provider Active NPI

Steven M Moss, D.D.S.

  • General Practice Dentistry
  • Livonia, MI
National Provider Identifier
1164542114
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15650 Issued in MI
Practice address
37625 Ann Arbor Rd
Suite108
Livonia, MI 48150-2400
Phone
(734) 744-4144
Fax
(734) 402-7979
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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 15650 MI Primary

Addresses

Primary practice location

37625 Ann Arbor Rd
Suite108
Livonia, MI 48150-2400

Mailing address

37625 Ann Arbor Rd
Suite108
Livonia, MI 48150-2400
Phone (734) 744-4144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150519000054 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2062732837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15650MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steven M Moss DDS PC CurrentSince Oct 19, 2020 Accepting new patients

Locations

37625 Ann Arbor Rd
Ste 108
Livonia, MI 48150
Phone (734) 462-5985

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1164542114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37625 ANN ARBOR RD",
            "address_2": "SUITE108",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502400",
            "telephone_number": "734-744-4144",
            "fax_number": "734-402-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37625 ANN ARBOR RD",
            "address_2": "SUITE108",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502400",
            "telephone_number": "734-744-4144",
            "fax_number": "734-402-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.