Individual provider Active NPI

Moe R Vokshoor, MS,DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1720425317
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041216 Issued in NY
Practice address
110 E 40TH St RM 502
New York, NY 10016-1815
Phone
(212) 697-4171
Fax
(212) 867-3808
NPI assigned
May 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 041216 NY Primary

Addresses

Primary practice location

110 E 40TH St RM 502
New York, NY 10016-1815

Mailing address

110 E 40TH St RM 502
New York, NY 10016-1815
Phone (212) 697-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
041216NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1720425317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 40TH ST RM 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161815",
            "telephone_number": "212-697-4171",
            "fax_number": "212-867-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 40TH ST RM 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161815",
            "telephone_number": "212-697-4171",
            "fax_number": "212-867-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOKSHOOR",
        "first_name": "MOE",
        "middle_name": "R",
        "credential": "MS,DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.