Organization Active NPI

James S Mossop DDS Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Hayward, CA
National Provider Identifier
1205906526
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
33343 Issued in CA
Legal business name
JAMES S MOSSOP DDS INC
Practice address
1320 Apple Avenue Ste 104
Hayward, CA 94541-1552
Phone
(510) 582-9055
Fax
(510) 582-8147
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
James S Mossop, DDS
Title
Oral Surgeon
Phone
(510) 582-9055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X 33343 CA Primary

Addresses

Primary practice location

1320 Apple Avenue Ste 104
Hayward, CA 94541-1552

Mailing address

1320 Apple Avenue Ste 104
Hayward, CA 94541-1552
Phone (510) 582-9055

National Provider Directory

National Provider Directory

Locations

1320 Apple Ave
Ste 104
Cherryland, CA 94541
Phone (360) 870-9097

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1205906526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 APPLE AVENUE STE 104",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411552",
            "telephone_number": "510-582-9055",
            "fax_number": "510-582-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 APPLE AVENUE STE 104",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411552",
            "telephone_number": "510-582-9055",
            "fax_number": "510-582-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES S MOSSOP DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "MOSSOP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "510-582-9055",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "33343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.