Justin Michael Moses, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00202390 Issued in CO

Practice address

953 S Frontage Rd W Ste 104
Vail, CO 81657-5709

Phone

(970) 476-3991

NPI assigned

Apr 5, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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.

• Justin M Moses DMD PLLC

  • General Practice Dentistry
  • Vail, CO
  • NPI 1225955420
  NPD (past) Authorized official

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1174889935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 S FRONTAGE RD W STE 104",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575709",
            "telephone_number": "970-476-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 S FRONTAGE RD W STE 104",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575709",
            "telephone_number": "970-476-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00202390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott R Montgomery, M.D.
• S.Jason Moore, P.A.
• Allison Morgan
• Susanna Morgan, OTR
• Matthew Vincent Morris, PT, DPT, OCS
• Mountain Revival Vail, LLC
• Brett Mueller
• Matthew Thomas Mymern, PT
• Tana Jo Naughton, PT
• Elizabeth J Neal, M.A., CCC-SLP

• General Practice Dentistry in Vail, CO
• Providers in Vail, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.