Organization Active NPI

Little Grins

  • Dentist
  • Yuma, AZ
National Provider Identifier
1598095523
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D5958 Issued in AZ
Legal business name
LITTLE GRINS
Practice address
2179 W 24TH St Ste B
Yuma, AZ 85364-6163
Phone
(928) 317-9494
Fax
(928) 782-2212
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Dr. Jennifer J Moseley, D.D.S. , M.S.D
Title
Dentist/Owner
Phone
(928) 317-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D5958 AZ Primary

Addresses

Primary practice location

2179 W 24TH St Ste B
Yuma, AZ 85364-6163

Mailing address

2179 W 24TH St Ste B
Yuma, AZ 85364-6163
Phone (928) 317-9494

National Provider Directory

National Provider Directory
Tax ID family
Little Grins2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2179 W 24th St
Ste B
Yuma, AZ 85364
Phone (928) 317-9494

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1598095523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 W 24TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646163",
            "telephone_number": "928-317-9494",
            "fax_number": "928-782-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 W 24TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646163",
            "telephone_number": "928-317-9494",
            "fax_number": "928-782-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE GRINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "928-317-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S. , M.S.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.