Danny Moosa DMD, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DANNY MOOSA DMD, LLC

Practice address

1080 Polaris Pkwy Ste 220
Columbus, OH 43240-6035

Phone

(614) 854-0101

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Danny Moosa, DMD

Title

Owner Dentist

Phone

(724) 777-1170

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• James Trenton Mathias, DDS

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1336367622
  NPD (past)

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1235713348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 POLARIS PKWY STE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432406035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 POLARIS PKWY STE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432406035",
            "telephone_number": "614-854-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY MOOSA DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "MOOSA",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "724-777-1170",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Parkwayfamilydentalpolaris.com",
            "affiliation": "N",
            "address_1": "1080 Polaris Pkwy Ste 220",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432406035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amearh Lanay Danley
• Renee Dovie Danley
• Matthew Dannemiller
• Janessa Lin Dannenfelser, RN
• Ivonne Danner
• Grace Cindy Danso
• Mallory D Danszczak, BS
• Nicole Danszczak
• Lauryn Dant, LISW-S
• Kayla R Dantzer

• Dental Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.