NPIMap

Organization Active NPI

Jmmdds PLLC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1205291119
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19487 Issued in TX
Legal business name
JMMDDS PLLC
Practice address
4203 Medical Pkwy
Austin, TX 78756-3309
Phone
(512) 371-7239
NPI assigned
Dec 18, 2015
Last updated
Dec 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
James Michael Moossy, D.D.S.NPI 1114163383
Title
Owner
Phone
(512) 459-5437

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 19487 TX Primary

Addresses

Primary practice location

4203 Medical Pkwy
Austin, TX 78756-3309

Mailing address

4200 N Lamar Blvd
Ste. 145
Austin, TX 78756-3712
Phone (512) 459-5437

National Provider Directory

National Provider Directory

Locations

4200 N Lamar Blvd
Ste 145
Austin, TX 78756
Phone (512) 459-8342

4203 Medical Pkwy
Austin, TX 78756
Phone (512) 371-7239

Practitioners & affiliated clinicians

Practitioners 4

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": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1205291119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N LAMAR BLVD",
            "address_2": "STE. 145",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563712",
            "telephone_number": "512-459-5437",
            "fax_number": "512-459-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 MEDICAL PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563309",
            "telephone_number": "512-371-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMMDDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "MOOSSY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-459-5437",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.