NPIMap

Organization Active NPI

Mos Corporation

Doing business as Union Avenue Dental

  • Dentist
  • Memphis, TN
National Provider Identifier
1700229713
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3438 Issued in TN
Legal business name
MOS CORPORATION
Doing business as
Union Avenue Dental
Practice address
1331 Union Ave Ste 1225
Memphis, TN 38104-7551
Phone
(901) 276-7314
Fax
(901) 276-6028
NPI assigned
Apr 9, 2013
Last updated
Apr 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Dr. Joe D O'Neal, DDSNPI 1336286137
Title
President
Phone
(901) 276-7314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3438 TN Primary

Addresses

Primary practice location

1331 Union Ave Ste 1225
Memphis, TN 38104-7551

Mailing address

1331 Union Ave Ste 1225
Memphis, TN 38104-7551
Phone (901) 276-7314

Other identifiers 1

IdentifierTypeStateIssuer
3225297MedicaidTN

Other names 1

  • Union Avenue Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mos Corporation2 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

1331 Union Ave
Ste 1225
Memphis, TN 38104
Phone (901) 276-7314

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1700229713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 1225",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047551",
            "telephone_number": "901-276-7314",
            "fax_number": "901-276-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 1225",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047551",
            "telephone_number": "901-276-7314",
            "fax_number": "901-276-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-276-7314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "3438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3225297",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Avenue Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.