Active NPI
Chanel Q Moses, DMD
- General Practice Dentistry
- Columbia, SC
National Provider Identifier
1174092845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9180
- Practice address
- 4500 8TH Division Rd
Columbia, SC 29207-5700 - Phone
- (803) 751-5688
- NPI assigned
- Nov 25, 2018
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9180 | SC | Primary |
Addresses
Primary practice location
4500 8TH Division Rd
Columbia, SC 29207-5700
Mailing address
30 Township Dr
Sumter, SC 29153-7439
Phone (803) 406-5221
Other practice location 1
4590 Strom Thurmond Blvd
Columbia, SC 29207-5305
Phone (803) 751-5178
Other practice location 2
USA Dentac-Ft. Hood Attn: Credentials
BLDG 36000, Ste 1048 Darnall Loop
Ft. Hood, TX 76544-5054
Phone (254) 287-1786
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 |
|---|---|---|---|
| 9180 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moncrief Army Community Hospital | Past | Accepting new patients |
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.
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Columbia, SC
- NPI 1932304946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1174092845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 TOWNSHIP DR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291537439",
"telephone_number": "803-406-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 8TH DIVISION RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292075700",
"telephone_number": "803-751-5688"
}
],
"practiceLocations": [
{
"address_1": "4590 Strom Thurmond Blvd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292075305",
"country_code": "US",
"telephone_number": "803-751-5178",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "USA DENTAC-FT. HOOD ATTN: CREDENTIALS",
"address_2": "BLDG 36000, STE 1048 DARNALL LOOP",
"address_purpose": "LOCATION",
"city": "FT. HOOD",
"state": "TX",
"postal_code": "765445054",
"country_code": "US",
"telephone_number": "254-287-1786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSES",
"first_name": "CHANEL",
"middle_name": "Q",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-25",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "9180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.