Jennifer D Moss, Rdhap, Inc

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

JENNIFER D MOSS, RDHAP, INC

Practice address

33276 Paloma Rd
Menifee, CA 92584-9459

Phone

(951) 252-4863

NPI assigned

Jan 21, 2019

Last updated

Jan 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer D Moss, BS,RDH,RDHAP

Title

Sole Proprietor

Phone

(951) 252-4863

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1568936888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33276 PALOMA RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925849459",
            "telephone_number": "951-252-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33276 PALOMA RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925849459",
            "telephone_number": "951-252-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER D MOSS, RDHAP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "951-252-4863",
        "authorized_official_credential": "BS,RDH,RDHAP"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Menifee, CA
• Providers in Menifee, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.