Active NPI
William R. Moos, D.D.S.
- Dentist
- Mondovi, WI
National Provider Identifier
1255745618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7264 - 15
- Practice address
- 132 Monroe St
Mondovi, WI 54755-1731 - Phone
- (715) 926-4237
- NPI assigned
- Jun 13, 2014
- Last updated
- Jun 13, 2014
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7264 - 15 | WI | Primary |
Addresses
Primary practice location
132 Monroe St
Mondovi, WI 54755-1731
Mailing address
1471 Valley Estates Rd
Mondovi, WI 54755-7899
Phone (715) 829-0960
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 |
|---|---|---|---|
| 7264 - 15 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1255745618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1471 VALLEY ESTATES RD",
"city": "MONDOVI",
"state": "WI",
"postal_code": "547557899",
"telephone_number": "715-829-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 MONROE ST",
"city": "MONDOVI",
"state": "WI",
"postal_code": "547551731",
"telephone_number": "715-926-4237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOS",
"first_name": "WILLIAM",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-13",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "7264 - 15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mondovi, WI
- Modern Dental Professionals, MN PC (Midwest Dental)
- Mondovi Area Ambulance Commission (Mondovi Ambulance Service)
- Mondovi Physical Therapy,LLC
- Mondovi School District
- Jeffrey William Moos, DDS
- Mountain Dental of New Mexico PC (Mountain Dental)
- Nancy Polzer Hearing Aid Services
- Jenna Ruth Nehls, PHARMD
- Nancy Alice Olson-Bauer, P.T.
- Sandra J Packard, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.