Organization Active NPI

Russell N Mosher DDS PC

  • Dentist
  • Midlothian, VA
National Provider Identifier
1295894590
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401007113 Issued in VA
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

Updated by the provider on Oct 20, 2016

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
089260OtherVAANTHEM
683606OtherVAUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.