Sandra Dotson Moss, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

19876 Issued in KY

Practice address

290 Old Jackson Hwy 31E
Glasgow, KY 42141

Phone

(270) 678-5740

Fax

(270) 678-4701

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720166523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 OLD JACKSON HWY 31E",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "42141",
            "telephone_number": "270-678-5740",
            "fax_number": "270-678-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 OLD JACKSON HWY 31E",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "42141",
            "telephone_number": "270-678-5740",
            "fax_number": "270-678-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "SANDRA",
        "middle_name": "DOTSON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "19876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64198765",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NUMBER",
            "identifier": "000000045939",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Moore
• Stephanie Morgan
• Brandon T Morris
• Beverly Jo Mortimer, ARNP
• Morris D. Moss, M.D.
• Jake Dale Murley, DMD
• Krystal Lafara Mutter, APRN
• William Mark Myers, D.M.D.
• National Seating & Mobility, Inc.
• Patricia Ann Neal, PHARM D

• Pediatrics Physician in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.