Individual provider Active NPI

Richard James Moses III, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hummelstown, PA
National Provider Identifier
1275610792
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS035495 Issued in PA
Practice address
397 Kunkel Ave
Hummelstown, PA 17036-9337
Phone
(717) 566-3776
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0401410867 VA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS035495 PA Primary
Pediatric Dentistry 1223P0221X DS035495 PA

Addresses

Primary practice location

397 Kunkel Ave
Hummelstown, PA 17036-9337

Mailing address

397 Kunkel Ave
Hummelstown, PA 17036-9337
Phone (717) 566-3776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 9, 2016 through Nov 9, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS035495PAMDPediatric Dentist
0401410867VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard J. Moses, III, DMD, PC Pediatric Dentistry CurrentSince May 1, 2022 Accepting new patients
Richard J. Moses, III, DMD, PC Pediatric Dentistry CurrentSince Nov 19, 2023 Accepting new patients

Locations

1421 E Chocolate Ave
Hershey, PA 17033
Phone (717) 500-1569

397 Kunkel Ave
Hummelstown, PA 17036
Phone (717) 558-8228

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1275610792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 KUNKEL AVE",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170369337",
            "telephone_number": "717-566-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 KUNKEL AVE",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170369337",
            "telephone_number": "717-566-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401410867",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS035495",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS035495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hummelstown, PA

Sources for this page

Verify at the official NPI Registry.