Organization Active NPI

Thomas L. Moffett, DDS, P.C.

  • General Practice Dentistry
  • Harrisburg, PA
National Provider Identifier
1427156181
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS018451L Issued in PA
Legal business name
THOMAS L. MOFFETT, DDS, P.C.
Practice address
7983 Paxton St
Harrisburg, PA 17111-5428
Phone
(717) 561-1118
Fax
(717) 564-9066
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Thomas L Moffett, DDSNPI 1043318777
Title
Owner/Dentist
Phone
(717) 561-1118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS018451L PA Primary

Addresses

Primary practice location

7983 Paxton St
Harrisburg, PA 17111-5428

Mailing address

7983 Paxton St
Harrisburg, PA 17111-5428
Phone (717) 561-1118

Other identifiers 3

IdentifierTypeStateIssuer
174605OtherPAUNITED CONCORDIA
1984262OtherPAUNITED CONCORDIA - PRACTICE
1983052OtherPAUNITED CONCORDIA WILLIAM L. MOFFETT, DMD

Other names 1

  • Moffett Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

7983 Paxton St
Harrisburg, PA 17111
Phone (717) 561-1118

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1427156181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7983 PAXTON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171115428",
            "telephone_number": "717-561-1118",
            "fax_number": "717-564-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7983 PAXTON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171115428",
            "telephone_number": "717-561-1118",
            "fax_number": "717-564-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L. MOFFETT, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "MOFFETT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "717-561-1118",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018451L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "174605",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA - PRACTICE",
            "identifier": "1984262",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA WILLIAM L. MOFFETT, DMD",
            "identifier": "1983052",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moffett Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.