Organization Active NPI

Moos Family Dental, PC

Doing business as Moos Family Dental

  • Dentist
  • Bozeman, MT
National Provider Identifier
1396415097
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MOOS FAMILY DENTAL, PC
Doing business as
Moos Family Dental
Practice address
1288 N 14TH Ave Ste 101
Bozeman, MT 59715-8534
Phone
(406) 586-4961
NPI assigned
Sep 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Mrs. Sandy Moos
Title
Office Manager
Phone
(406) 586-4961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1288 N 14TH Ave Ste 101
Bozeman, MT 59715-8534

Mailing address

1288 N 14TH Ave Ste 101
Bozeman, MT 59715-8534
Phone (406) 586-4961

Other names 1

  • Moos Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1288 N 14th Ave
Ste 101
Bozeman, MT 59715
Phone (406) 586-4961

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1396415097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 N 14TH AVE STE 101",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158534",
            "telephone_number": "406-586-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 N 14TH AVE STE 101",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158534",
            "telephone_number": "406-586-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOS FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "MOOS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-586-4961",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moos Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.