Megan Moshea, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN 20782 Issued in FL

Practice address

11518 San Jose Blvd # a
Jacksonville, FL 32223-7237

Phone

(904) 268-5600

NPI assigned

Jul 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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 Jul 5, 2021 through Jul 5, 2027

Medicare enrollment (NPD)

Not 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.

• Megan Moshea D.D.S. LLC

  • Dental Clinic/Center
  • Jacksonville, FL
  • NPI 1386379303
  NPD Authorized official

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1336555754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11518 SAN JOSE BLVD # A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237237",
            "telephone_number": "904-268-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11518 SAN JOSE BLVD # A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237237",
            "telephone_number": "904-268-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHEA",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 20782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "20782",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mandarindentistry.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "11518 San Jose Blvd # A",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322237237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Douglas Moser, M.D., M.P.H.
• Blake Moser, D.C.
• Alex Martin Moses
• Falma Moses, CNA CMA
• Christine Moshe, MD
• Amy Mosher, PHARM.D.
• Caitlin Elizabeth Mosher, APRN
• Margaret Mosher, APRN
• Scott Edward Mosher, LMHC
• Andrew Thomas Mosier, PTA

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.