Individual provider Active NPI

Moses Senteza Kawalya, DVM, DABVP

  • Veterinarian
  • Lutz, FL
National Provider Identifier
1750770277
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
VM9179 Issued in FL
Practice address
24416 Sr 54
Lutz, FL 33559-7303
Phone
(813) 428-6994
Fax
(813) 501-4926
NPI assigned
Jan 21, 2015
Last updated
Jan 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X VM9179 FL Primary

Addresses

Primary practice location

24416 Sr 54
Lutz, FL 33559-7303

Mailing address

24416 Sr 54
Lutz, FL 33559-7303
Phone (813) 428-6994

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

State licenses

LicenseStateTypeSpecialty
VM9179FLMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1750770277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24416 SR 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597303",
            "telephone_number": "813-428-6994",
            "fax_number": "813-501-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24416 SR 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597303",
            "telephone_number": "813-428-6994",
            "fax_number": "813-501-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWALYA",
        "first_name": "MOSES",
        "middle_name": "SENTEZA",
        "name_prefix": "Dr.",
        "credential": "DVM, DABVP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "FL",
            "license": "VM9179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.