Erich Michael Mosig, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39451 Issued in CA

Practice address

1815 Via El Prado Ste 400
Hollywood Riviera Village
Redondo Beach, CA 90277-5727

Phone

(310) 792-4325

Fax

(310) 792-4328

NPI assigned

Mar 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• E. Michael Mosig DDS and Mary Lynn Lukasik DDS, a Dental Corporation

  • Dentist
  • Redondo Beach, CA
  • NPI 1477262004
  NPD Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205969383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 VIA EL PRADO STE 400",
            "address_2": "HOLLYWOOD RIVIERA VILLAGE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775727",
            "telephone_number": "310-792-4325",
            "fax_number": "310-792-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 VIA EL PRADO STE 400",
            "address_2": "HOLLYWOOD RIVIERA VILLAGE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775727",
            "telephone_number": "310-792-4325",
            "fax_number": "310-792-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSIG",
        "first_name": "ERICH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Morris
• Kristen Morse, BCBA
• Margie Ree Moseley
• Robin J Moser, PA-C
• Mojgan Moshtael, PH.D.
• Paige Lynette Mosqueda, PPSC
• Reyna Rubi Mota I
• Kristin Danielle Mothershed
• Gabrielle Elyse Mouton
• Move 4Ward Physical Therapy Corporation

• General Practice Dentistry in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.