Active NPI
Jazmin Moss
- Dentist
- Starkville, MS
National Provider Identifier
1548015910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111369
- Practice address
- 601 Ms-12
Starkville, MS 39759 - Phone
- (662) 270-4054
- NPI assigned
- Apr 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 111323 | CA | |
| Dentist | 122300000X | 111369 | MS | Primary |
Addresses
Primary practice location
601 Ms-12
Starkville, MS 39759
Mailing address
7 Calle Careyes
San Clemente, CA 92673-6997
Phone (714) 943-7718
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111323 | CA | MD | Clinical Social Worker |
| 111369 | MS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1548015910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CALLE CAREYES",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736997",
"telephone_number": "714-943-7718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 MS-12",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "39759",
"telephone_number": "662-270-4054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "JAZMIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-19",
"last_updated": "2025-08-05",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111323",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "111369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.