Individual provider Active NPI

Moid N. Karwaa, DDS

  • Dentist
  • Columbia, MO
National Provider Identifier
1699255083
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2017040132 Issued in MO
Practice address
303 N Keene St Ste 202
Columbia, MO 65201-8052
Phone
(844) 853-8937
NPI assigned
Aug 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2017040132 MO Primary

Addresses

Primary practice location

303 N Keene St Ste 202
Columbia, MO 65201-8052

Mailing address

6738 State Highway 77
Benton, MO 63736-8238
Phone (573) 313-2500

Other practice location 1

307 N Broadway
Salisbury, MO 65281-1407
Phone (844) 853-8937

Other practice location 2

1600 N Missouri Ave
Marceline, MO 64658-1012
Phone (844) 853-8937

Other practice location 3

1001 W Worley St
Columbia, MO 65203-2037
Phone (844) 853-8937

Other practice location 4

1101 N Providence Rd
Columbia, MO 65203-4365
Phone (844) 853-8937

Other practice location 5

2475 Broadway Bluffs Dr
Columbia, MO 65201-8148
Phone (844) 853-8937

Other practice location 6

220 Southland Dr
Sikeston, MO 63801-4403
Phone (573) 471-4167

Other identifiers 1

IdentifierTypeStateIssuer
400086399MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20220916001709 MO Practitioner - Dentist 5092190728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017040132MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Jul 1, 2022 Accepting new patients
Compass Health, Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

200 Portland St
Columbia, MO 65201
Phone (573) 886-4600

2475 Broadway Bluffs Dr
Ste 200
Columbia, MO 65201
Phone (573) 777-9282

1101 N Providence Rd
Columbia, MO 65203
Phone (573) 777-8997

303 N Keene St
Ste 202
Columbia, MO 65201
Phone (573) 442-8885

1001 W Worley St
Columbia, MO 65203
Phone (573) 214-2314

2475 Broadway Bluffs Dr
Columbia, MO 65201
Phone (573) 777-9282

1600 N Missouri Ave
Marceline, MO 64658
Phone (660) 376-2038

1517 Union Ave
Ste C
Moberly, MO 65270
Phone (660) 263-4800

307 S Broadway
Salisbury, MO 65281
Phone (660) 388-6446

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1699255083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6738 STATE HIGHWAY 77",
            "city": "BENTON",
            "state": "MO",
            "postal_code": "637368238",
            "telephone_number": "573-313-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N KEENE ST STE 202",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018052",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MO",
            "postal_code": "652811407",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 N Missouri Ave",
            "address_purpose": "LOCATION",
            "city": "Marceline",
            "state": "MO",
            "postal_code": "646581012",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 W Worley St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652032037",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 N Providence Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652034365",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2475 Broadway Bluffs Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652018148",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Southland Dr",
            "address_purpose": "LOCATION",
            "city": "Sikeston",
            "state": "MO",
            "postal_code": "638014403",
            "country_code": "US",
            "telephone_number": "573-471-4167",
            "fax_number": "573-471-4212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARWAA",
        "first_name": "MOID",
        "middle_name": "N.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2017040132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400086399",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.