Active NPI
Russell N Mosher DDS PC
- Dentist
- Midlothian, VA
National Provider Identifier
1295894590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401007113
- Legal business name
- RUSSELL N MOSHER DDS PC
- Practice address
- 1320 Alverser PLZ
Midlothian, VA 23113-2604 - Phone
- (804) 379-6971
- Fax
- (804) 379-2796
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Russell N Mosher, DDS
- Title
- Owner
- Phone
- (804) 379-6971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401007113 | VA | Primary |
Addresses
Primary practice location
1320 Alverser PLZ
Midlothian, VA 23113-2604
Mailing address
1320 Alverser PLZ
Midlothian, VA 23113-2604
Phone (804) 379-6971
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089260 | Other | VA | ANTHEM |
| 683606 | Other | VA | UNITED CONCORDIA |
National Provider Directory
National Provider DirectoryLocations
1320 Alverser Plz
Midlothian, VA 23113
Phone (804) 379-0962
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Midlothian, VA
- NPI 1245426972
-
- General Practice Dentistry
- Midlothian, VA
- NPI 1144058819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476921600000",
"number": "1295894590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 ALVERSER PLZ",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231132604",
"telephone_number": "804-379-6971",
"fax_number": "804-379-2796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 ALVERSER PLZ",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231132604",
"telephone_number": "804-379-6971",
"fax_number": "804-379-2796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSSELL N MOSHER DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2016-10-20",
"status": "A",
"authorized_official_last_name": "MOSHER",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-379-6971",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "VA",
"license": "0401007113",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "089260",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "683606",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.