Brad Justin Moseley, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28040 Issued in TX

Practice address

9099 Katy Fwy
140
Houston, TX 77024-1632

Phone

(713) 465-1860

Fax

(281) 768-7759

NPI assigned

Nov 26, 2012

Last updated

Nov 26, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1538403928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9099 KATY FWY",
            "address_2": "140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241632",
            "telephone_number": "713-465-1860",
            "fax_number": "281-768-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9099 KATY FWY",
            "address_2": "140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241632",
            "telephone_number": "713-465-1860",
            "fax_number": "281-768-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSELEY",
        "first_name": "BRAD",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lo-Ruhama Sarai Moschetti, LPC
• Giancarlo Moscol, M.D.
• Genalin Alameda Moscoso-Stafford
• Mose Care Incorporated
• D'Angela Henry Mose, CART, LPC
• Jacqueline SS Moseley, SLP
• James Bruce Moseley, M.D.
• Micah Seth Moseley, M.D.
• Tanya Washinton Moseley, M.D.
• Chennell Lorraine Mosely

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.