Individual provider Active NPI

Timur Mozner, DDS

  • Dentist
  • White Plains, NY
National Provider Identifier
1376758268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
048393 Issued in NY
Practice address
211 Central Ave
White Plains, NY 10606-1100
Phone
(914) 390-9111
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 048393 NY Primary

Addresses

Primary practice location

211 Central Ave
White Plains, NY 10606-1100

Mailing address

211 Central Ave
White Plains, NY 10606-1100
Phone (914) 390-9111

Other names 1

  • Tim Mozner Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20160707000004 NY Order and Referring Only - DentistPractitioner - Dentist 8921390220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tim Mozner DDS PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376758268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CENTRAL AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106061100",
            "telephone_number": "914-390-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CENTRAL AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106061100",
            "telephone_number": "914-390-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZNER",
        "first_name": "TIMUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIM",
            "last_name": "MOZNER",
            "credential": "DDS,PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.