Blair Vernal Moser II, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40472 Issued in CA

Practice address

12344 Fair Oaks Blvd
Suite # a
Fair Oaks, CA 95628-2546

Phone

(916) 721-3368

Fax

(916) 721-8085

NPI assigned

Oct 16, 2006

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

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

• Charles Dental Group

  • Dentist
  • Fair Oaks, CA
  • NPI 1245634682
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245320498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12344 FAIR OAKS BLVD",
            "address_2": "SUITE # A",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956282546",
            "telephone_number": "916-721-3368",
            "fax_number": "916-721-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12344 FAIR OAKS BLVD",
            "address_2": "SUITE # A",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956282546",
            "telephone_number": "916-721-3368",
            "fax_number": "916-721-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "BLAIR",
        "middle_name": "VERNAL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jabarious Moore
• Jacob Ryan Moore
• Deborah Nicole Morell
• Sandie Moreno, CPT
• Kent Morrison, MA, LAADC-R, CADC II
• Sai Moua, PHARMD
• Carmelina Mule, PSY. D
• Kerri S Mulligan, RD
• Jazmine Murray
• James Musser, D.D.S.

• General Practice Dentistry in Fair Oaks, CA
• Providers in Fair Oaks, 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.