Individual provider Active NPI

Moeza A Seager

  • General Practice Dentistry
  • Carrollton, TX
National Provider Identifier
1689297327
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS042792 Issued in PA
Practice address
2604 Old Denton Rd Ste 112
Carrollton, TX 75007-5137
Phone
(927) 323-5060
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38996 TX
General Practice Dentistry 1223G0001X DS042792 PA Primary

Addresses

Primary practice location

2604 Old Denton Rd Ste 112
Carrollton, TX 75007-5137

Mailing address

2604 Old Denton Rd Ste 112
Carrollton, TX 75007-5137
Phone (927) 323-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20210802003358 PA Order and Referring Only - DentistPractitioner - Dentist 2062816846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS042792PAMDGeneral Practice Dentistry
38996TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1689297327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 OLD DENTON RD STE 112",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075137",
            "telephone_number": "927-323-5060",
            "fax_number": "724-632-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 OLD DENTON RD STE 112",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075137",
            "telephone_number": "927-323-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGER",
        "first_name": "MOEZA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38996",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.