Individual provider Active NPI

Eric T Moskowitz, D.D.S.

  • General Practice Dentistry
  • Concord, NC
National Provider Identifier
1548386923
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6159 Issued in NC
Practice address
9900 Poplar Tent Rd
Suite 150
Concord, NC 28027-9502
Phone
(704) 782-2400
Fax
(704) 782-2402
NPI assigned
Mar 21, 2007
Last updated
Oct 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6159 NC Primary

Addresses

Primary practice location

9900 Poplar Tent Rd
Suite 150
Concord, NC 28027-9502

Mailing address

9900 Poplar Tent Rd
Suite 150
Concord, NC 28027-9502
Phone (704) 782-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160112001452 NC Order and Referring Only - DentistPractitioner - Dentist 3779885405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6159NCMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1548386923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 POPLAR TENT RD",
            "address_2": "SUITE 150",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279502",
            "telephone_number": "704-782-2400",
            "fax_number": "704-782-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 POPLAR TENT RD",
            "address_2": "SUITE 150",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279502",
            "telephone_number": "704-782-2400",
            "fax_number": "704-782-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "ERIC",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.