David K Moose, D.D.S., M.D.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

13679 Issued in MD

Practice address

1715 Frederick St
Cumberland, MD 21502-1037

Phone

(301) 722-3205

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

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.

• Institute of Facial & Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Leesburg, VA
  • NPI 1225305766
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265594535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 BALTIMORE AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022402",
            "telephone_number": "240-527-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 FREDERICK ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021037",
            "telephone_number": "301-722-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSE",
        "first_name": "DAVID",
        "middle_name": "K",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MD",
            "license": "13679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Momentum Arthritis and Wellness Clinic
• Monarch Counseling, LLC
• Ronna Mathias Monseau, M.D/
• Melissa Moore
• Bobbi Michelle Moose, DDS, MPH
• Molly Delores Moran, CRNP
• More With Doc C, LLC
• Lisa Maureen Moreland, CRNP
• Christopher Morin, PT
• Connie Jo Morris, MSN, CRNP, FNP-BC

• Oral and Maxillofacial Pathology Dentistry in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Oral and Maxillofacial Pathology Dentistry in Maryland

• 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.