Active NPI
Moses Oyegoke Adedeji, MD
- Specialist
- Biloxi, MS
National Provider Identifier
1477583482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 17620
- Practice address
- 400 Veterans Avenue
Diagnostic Medicine Service (113)
Biloxi, MS 39531 - Phone
- (228) 523-5542
- Fax
- (228) 523-4902
- NPI assigned
- Jul 4, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 17620 | MS | Primary |
| Specialist | 174400000X | 35.081298 | OH | |
| Specialist | 174400000X | M0335 | TX |
Addresses
Primary practice location
400 Veterans Avenue
Diagnostic Medicine Service (113)
Biloxi, MS 39531
Mailing address
310 Abbey CT
Apt A2
Biloxi, MS 39531-4009
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35.081298 | Other | OH | STATE MEDICAL BOARD |
| M0335 | Other | TX | BOARD OF MEDICAL EXAMINER |
| 17620 | Other | MS | BOARD OF MEDICAL LICENSUR |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17620 | MS | MD | Specialist |
| 35.081298 | OH | MD | Specialist |
| M0335 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477583482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 ABBEY CT",
"address_2": "APT A2",
"city": "BILOXI",
"state": "MS",
"postal_code": "395314009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 VETERANS AVENUE",
"address_2": "DIAGNOSTIC MEDICINE SERVICE (113)",
"city": "BILOXI",
"state": "MS",
"postal_code": "39531",
"telephone_number": "228-523-5542",
"fax_number": "228-523-4902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEDEJI",
"first_name": "MOSES",
"middle_name": "OYEGOKE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "17620",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35.081298",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "M0335",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL BOARD",
"identifier": "35.081298",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF MEDICAL EXAMINER",
"identifier": "M0335",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF MEDICAL LICENSUR",
"identifier": "17620",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
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.