David a. Mosal, DDS, PA

Primary specialty

DentistTaxonomy code 122300000X

License

1585-73 Issued in MS

Legal business name

DAVID A. MOSAL, DDS, PA

Practice address

5856 Ridgewood Rd
Jackson, MS 39211-2617

Phone

(601) 956-9595

Fax

(601) 956-9883

NPI assigned

Feb 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. David A Mosal, DDSNPI 1154463321

Title

President

Phone

(601) 956-9595

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David A Mosal, DDS

  • General Practice Dentistry
  • Jackson, MS
  • NPI 1154463321
  NPD (past) Authorized official
• Seth Hunter Mosal, D.M.D.

  • Dentist
  • Jackson, MS
  • NPI 1972767143
  NPD (past)

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1730428772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5856 RIDGEWOOD RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112617",
            "telephone_number": "601-956-9595",
            "fax_number": "601-956-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5856 RIDGEWOOD RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112617",
            "telephone_number": "601-956-9595",
            "fax_number": "601-956-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. MOSAL, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "MOSAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-956-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "1585-73",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "3475-08",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1972767143",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1154463321",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Frederic Dare, M.D.
• Marsha Williams Darnell, LPC
• Damon Allen Darsey, M.D.
• Mary Ann Moss Darsey
• Omkar Hemant Dave, M.D.
• David R Carroll,MD, PLLC
• David S. Miller, MD, PLLC
• Jamie V Davidson, NP
• John Clayton Davidson I, MD
• Karen Whitfield Davidson, FNP-C

• Dentist in Jackson, MS
• Providers in Jackson, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.