Gary Joseph Mosio, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901012203 Issued in MI

Practice address

17220 Mack Avenue
Grosse Pointe, MI 48230-6254

Phone

(313) 881-9400

Fax

(313) 881-2736

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gary J. Mosio D.D.S.

  • Dental Clinic/Center
  • Grosse Pointe, MI
  • NPI 1528796588
  NPD Authorized official

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1306048921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17220 MACK AVENUE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306254",
            "telephone_number": "313-881-9400",
            "fax_number": "313-881-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17220 MACK AVENUE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306254",
            "telephone_number": "313-881-9400",
            "fax_number": "313-881-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSIO",
        "first_name": "GARY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Montgomery
• Jackie Moore, MA
• Memphie Morgan
• Emili Kristen Morris, PT
• Emerson Mae Morton, PA-C
• Peggy Schnurr Muelle, M.A., LPC
• William Mulligan
• William Mundle, RPH
• William Anthony Myszkier, AU.D.
• Nasmac, LLC (CogeraHealth)

• General Practice Dentistry in Grosse Pointe, MI
• Providers in Grosse Pointe, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.