Jeffrey Victor Moffett, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN15450 Issued in FL

Practice address

275 Bayshore Blvd
805
Tampa, FL 33606-2328

Phone

(305) 725-2315

NPI assigned

Oct 18, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffrey V Moffett D.M.D P.a

  • Oral and Maxillofacial Surgery (Dentist)
  • Riverview, FL
  • NPI 1033363197
  NPD (past) Authorized official
• Afdic Moffett P.a

  • Oral and Maxillofacial Surgery (Dentist)
  • Riverview, FL
  • NPI 1093563918
  NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588745228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BAYSHORE BLVD",
            "address_2": "805",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062328",
            "telephone_number": "305-725-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BAYSHORE BLVD",
            "address_2": "805",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062328",
            "telephone_number": "305-725-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "JEFFREY",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN15450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ami Sonia Modh, D.O.
• Ashok K Modh, M.D.
• Angela Russell Modi, PA-C
• Jalpa Modi, PHARMD, RPH
• Susan Snyder Modi, ARNP
• Moffitt Cancer Center & Research Institute
• Joseph Kevin Moffitt, MD
• Moriah R Moffitt, M.D.
• Barbaree Mofield, PTA
• Kathryn Mogan, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Tampa, FL
• Providers in Tampa, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• 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.
• 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.