Active NPI
Julius Mosley II, DDS
- General Practice Dentistry
- Fairfield, CA
National Provider Identifier
1316224660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20421
- Practice address
- 2750 N Texas St
Suite 340
Fairfield, CA 94533-1290 - Phone
- (707) 421-2161
- Fax
- (707) 421-2163
- NPI assigned
- Nov 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20421 | CA | Primary |
Addresses
Primary practice location
2750 N Texas St
Suite 340
Fairfield, CA 94533-1290
Mailing address
2750 N Texas St
Suite 340
Fairfield, CA 94533-1290
Phone (707) 421-2161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20421 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1316224660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 N TEXAS ST",
"address_2": "SUITE 340",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945331290",
"telephone_number": "707-421-2161",
"fax_number": "707-421-2163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 N TEXAS ST",
"address_2": "SUITE 340",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945331290",
"telephone_number": "707-421-2161",
"fax_number": "707-421-2163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSLEY",
"first_name": "JULIUS",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "20421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.