NPIMap

Organization Active NPI

Mossmann Family Dental, PC

  • General Practice Dentistry
  • South Lancaster, MA
National Provider Identifier
1174828651
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21269 Issued in MA
Legal business name
MOSSMANN FAMILY DENTAL, PC
Practice address
240 Main Street
South Lancaster, MA 01561-1208
Phone
(978) 368-8474
Fax
(978) 368-8477
NPI assigned
Jan 14, 2011
Last updated
Jan 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Dr. Michael Erich Mossmann, DDSNPI 1902974074
Title
Owner
Phone
(978) 368-8474

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
General Practice Dentistry 1223G0001X 21269 MA Primary

Addresses

Primary practice location

240 Main Street
South Lancaster, MA 01561-1208

Mailing address

P.O. Box 1208
240 Main Street
South Lancaster, MA 01561-1208
Phone (978) 368-8474

Other identifiers 1

IdentifierTypeStateIssuer
1902974074OtherMANPI TYPE I

Other names 1

  • Mossmann Family Dental Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1174828651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1208",
            "address_2": "240 MAIN STREET",
            "city": "SOUTH LANCASTER",
            "state": "MA",
            "postal_code": "015611208",
            "telephone_number": "978-368-8474",
            "fax_number": "978-368-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MAIN STREET",
            "city": "SOUTH LANCASTER",
            "state": "MA",
            "postal_code": "015611208",
            "telephone_number": "978-368-8474",
            "fax_number": "978-368-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSSMANN FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "MOSSMANN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ERICH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-368-8474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1902974074",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mossmann Family Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in South Lancaster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.