Active NPI
Jeffrey James Moses
- Oral and Maxillofacial Surgery (Dentist)
- New Braunfels, TX
National Provider Identifier
1245833128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 13208
- Practice address
- 3980 Lariat RDG
New Braunfels, TX 78132-2023 - Phone
- (858) 442-1551
- NPI assigned
- Nov 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 13208 | TX | Primary |
Addresses
Primary practice location
3980 Lariat RDG
New Braunfels, TX 78132-2023
Mailing address
3980 Lariat RDG
New Braunfels, TX 78132-2023
Phone (858) 442-1551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13208 | TX | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1245833128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3980 LARIAT RDG",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781322023",
"telephone_number": "858-442-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 LARIAT RDG",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781322023",
"telephone_number": "858-442-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "JEFFREY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "13208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.