Stephen Brent Moses, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401412696 Issued in VA

Practice address

1000 First Colonial Rd Ste 104
Virginia Beach, VA 23454-3000

Phone

(757) 496-0993

Fax

(757) 496-8137

NPI assigned

Jul 11, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1427287432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FIRST COLONIAL RD STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543000",
            "telephone_number": "757-496-0993",
            "fax_number": "757-496-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FIRST COLONIAL RD STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543000",
            "telephone_number": "757-496-0993",
            "fax_number": "757-496-8137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2409 Dovercourt Dr",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231136420",
            "country_code": "US",
            "telephone_number": "804-794-6894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "STEPHEN",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-11",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "758",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara E Mosby, DPT
• Ricardo Moscoso, M.D.
• Afrodeasia Moseley, RN
• Hart Mason Moseley
• Moses Transportation LLC (Moses Medical Transportation)
• Nicole Mosher
• Andrea Nicole Moskal
• Rachael Moskalski
• Jonina L Moskowitz, PSYD
• Ashton Mosley

• Dentist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.