Active NPI
Moid N. Karwaa, DDS
- Dentist
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2017040132
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400086399 | Medicaid | MO |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017040132 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current | Accepting new patients | |
| Compass Health, Inc | Current | 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.
-
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.