Casa Mossman Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CASA MOSSMAN DENTAL PLLC

Practice address

670 W Campbell Rd Ste 160
Richardson, TX 75080-3384

Phone

(972) 838-3772

NPI assigned

Jul 12, 2019

Organization subpart

No

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

Authorized official

Name

Maxim Mossman, DDS

Title

Owner

Phone

(972) 838-3772

Specialties & licenses 1

Addresses

Other names 1

• EZ Family Dental Doing business as

Locations

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1194377762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 W CAMPBELL RD STE 160",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 W CAMPBELL RD STE 160",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803384",
            "telephone_number": "972-838-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA MOSSMAN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "MOSSMAN",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-838-3772",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZ Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carter Real Estate Properties Inc
• Alice Carter
• Amberly Carter
• Alma Cartwright
• Andre Gallo Carvalho, DDS
• Angela K Case-Sutphen, CPNP-AC, PC
• Terri J Casey, MD
• Kaitlyn Cassidy, OTR
• Andrea Castaneda
• Jazmin Castillo Olivera

• General Practice Dentistry in Richardson, TX
• Providers in Richardson, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.