Diana Moshiri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.026951 Issued in MI

Practice address

1575 Vernon Odom Blvd
Akron, OH 44320-4091

Phone

(330) 753-7734

NPI assigned

Jul 26, 2022

Sex

Female

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 OH

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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1558097352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 VERNON ODOM BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204091",
            "telephone_number": "330-753-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 VERNON ODOM BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204091",
            "telephone_number": "330-753-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHIRI",
        "first_name": "DIANA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "30.026951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Moser, M.D., M.P.H.
• Leila Denise Moser, APRN
• Douglas E Moses, M.D.
• Kathryn A Mosher, M.D.
• Mallory Kathleen Mosher, LISW, LICDC
• Aaryon Mosic
• Danielle Julie Moskal, FNP-C
• Bennie Mosley Jr.
• Danielle P Mosley
• Kailen Mosley

• General Practice Dentistry in Akron, OH
• Providers in Akron, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.