Mossprime Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOSSPRIME DENTAL PLLC

Doing business as

North Arlington Smiles

Practice address

1625 Pecan Park Dr
Arlington, TX 76012-3044

Phone

(972) 362-2225

Fax

(972) 362-2226

NPI assigned

Jul 27, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Maxim Mouratov Mossman

Title

Dr. (Owner)

Phone

(972) 362-2225

Specialties & licenses 1

Addresses

Other names 1

• North Arlington Smiles Doing business as

Tax ID family

Mossprime Dental PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mossprime Dental PLLC

  • General Practice Dentistry
  • Balch Springs, TX
  • NPI 1841764354
  NPD tax ID

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1538778493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 PECAN PARK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123044",
            "telephone_number": "972-362-2225",
            "fax_number": "972-362-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 PECAN PARK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123044",
            "telephone_number": "972-362-2225",
            "fax_number": "972-362-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSSPRIME DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "MOSSMAN",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_middle_name": "MOURATOV",
        "authorized_official_title_or_position": "DR. (OWNER)",
        "authorized_official_telephone_number": "972-362-2225",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Arlington Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Arlington Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christa Amon Moses, P.A.-C.
• Shamim Moslemi, D.D.S
• Lori Mosley
• Marissa Leeann Mosley, LMSW
• Maria Mosomi, PMHNP-BC
• Felistus Nyatichi Motari
• Martha K. Motari
• Gaelle N Moukam
• Scott Moulton, F.N.P., R.N., D.C.
• Stephanie Mounger, BCBA

• General Practice Dentistry in Arlington, TX
• Providers in Arlington, 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 Feb 5, 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.