Active NPI
Melvin Lewis Mosley, DDS
- General Practice Dentistry
- Dunbar, WV
National Provider Identifier
1467547786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2253
- Practice address
- 221 Dunbar Ave
Dunbar, WV 25064-3306 - Phone
- (304) 768-3292
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2253 | WV | Primary |
Addresses
Primary practice location
221 Dunbar Ave
Dunbar, WV 25064-3306
Mailing address
PO Box 442
Dunbar, WV 25064-3306
Phone (304) 768-3292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0135728000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467547786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 442",
"city": "DUNBAR",
"state": "WV",
"postal_code": "250643306",
"telephone_number": "304-768-3292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 DUNBAR AVE",
"city": "DUNBAR",
"state": "WV",
"postal_code": "250643306",
"telephone_number": "304-768-3292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSLEY",
"first_name": "MELVIN",
"middle_name": "LEWIS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "2253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0135728000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunbar, WV
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.