Dennis Michael Moss, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05008856-L Issued in PA

Practice address

9655 Longswamp Road
Mertztown, PA 19539-8800

Phone

(610) 682-4944

Fax

(610) 682-6125

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467552919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 LONGSWAMP ROAD",
            "city": "MERTZTOWN",
            "state": "PA",
            "postal_code": "19539",
            "telephone_number": "610-682-4944",
            "fax_number": "610-682-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 LONGSWAMP ROAD",
            "city": "MERTZTOWN",
            "state": "PA",
            "postal_code": "195398800",
            "telephone_number": "610-682-4944",
            "fax_number": "610-682-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "05008856-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015547380001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Cassidy Fink, LPC
• Daniel B Gatto Jr., DC
• Jill Lenhart
• Emma Linsenbigler, LAT, ATC
• Melanie Miller
• Marilyn Mussomeli, PSY.D.
• Meaghan Nieves
• Pearly Whites by Megh N
• Hannah Violet Phillips, MT-BC
• Lee Roy Phillips, D.D.S.

• Family Medicine Physician in Mertztown, PA
• Providers in Mertztown, PA by specialty
• Family Medicine Physician in Pennsylvania

• 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.

Verify at the official NPI Registry.