Individual provider Active NPI

Kelsey Moskwinski, DDS

  • Dentist
  • Fishers, IN
National Provider Identifier
1205314085
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12013006A Issued in IN
Practice address
7340 Crossing PL Ste 200
Fishers, IN 46038-2730
Phone
(317) 570-5480
NPI assigned
Aug 2, 2018
Last updated
Aug 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12013006A IN Primary

Addresses

Primary practice location

7340 Crossing PL Ste 200
Fishers, IN 46038-2730

Mailing address

7340 Crossing PL Ste 200
Fishers, IN 46038-2730
Phone (317) 570-5480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20201021000099 IN Order and Referring Only - DentistPractitioner - Dentist 1254751845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
KB Dental 2 Past Accepting new patients
Rli Dental, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1205314085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 CROSSING PL STE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382730",
            "telephone_number": "317-570-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 CROSSING PL STE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382730",
            "telephone_number": "317-570-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKWINSKI",
        "first_name": "KELSEY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013006A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.