John Lawrence Moses, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J7106 Issued in TX

Practice address

11803 South Freeway #203
Fort Worth, TX 76115

Phone

(817) 568-1004

Fax

(817) 568-1040

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588684583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 SOUTH FREEWAY #203",
            "address_2": "PO BOX 6337",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76115",
            "telephone_number": "817-568-1004",
            "fax_number": "817-568-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 SOUTH FREEWAY #203",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76115",
            "telephone_number": "817-568-1004",
            "fax_number": "817-568-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "JOHN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J7106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10028445",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0040GG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112008101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia R Morton, DDS
• Caroline Mose, PMHNP
• Chasity Moseley
• Denise E Moseley, DDS
• Gregory A Moses, M.D.
• Lee Paul Moses, M.A., L.P.C.
• Damaris Sarahy Mosharaf, LCSW
• Cailey Jade Mosley
• Kai L Mosley
• Keri Beth Mosley, MOTR/L

• Pediatrics Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.