Active NPI
Daniel Moos, DDS
- Prosthodontics
- Milwaukee, WI
National Provider Identifier
1386790921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 4403
- Practice address
- 4447 N Oakland Ave
Milwaukee, WI 53211-1611 - Phone
- (414) 964-2223
- NPI assigned
- Jan 26, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 4403 | WI | Primary |
Addresses
Primary practice location
4447 N Oakland Ave
Milwaukee, WI 53211-1611
Mailing address
7119 N Crossway Rd
Milwaukee, WI 53217-3849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161208001352 | WI | Order and Referring Only - Dentist | 5698055663 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386790921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7119 N CROSSWAY RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532173849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4447 N OAKLAND AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532111611",
"telephone_number": "414-964-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOS",
"first_name": "DANIEL",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "WI",
"license": "4403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.