Organization Active NPI

Tracy Taddey-Moss, DDS, Inc.

  • Dentist
  • San Diego, CA
National Provider Identifier
1780783431
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45778 Issued in CA
Legal business name
TRACY TADDEY-MOSS, DDS, INC.
Practice address
7373 Clairemont Mesa Blvd
#108F
San Diego, CA 92111-1120
Phone
(858) 560-4009
Fax
(858) 560-9396
NPI assigned
Sep 21, 2006
Last updated
Dec 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Dr. Tracy Ann Taddey-Moss, DDS
Title
Dentist
Phone
(858) 560-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45778 CA Primary

Addresses

Primary practice location

7373 Clairemont Mesa Blvd
#108F
San Diego, CA 92111-1120

Mailing address

7373 Clairemont Mesa Blvd
#108F
San Diego, CA 92111-1120
Phone (858) 560-4009

National Provider Directory

National Provider Directory

Locations

7373 Clairemont Mesa Blvd
Ste 108F
San Diego, CA 92111
Phone (858) 560-4009

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1780783431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 CLAIREMONT MESA BLVD",
            "address_2": "#108F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111120",
            "telephone_number": "858-560-4009",
            "fax_number": "858-560-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 CLAIREMONT MESA BLVD",
            "address_2": "#108F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111120",
            "telephone_number": "858-560-4009",
            "fax_number": "858-560-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY TADDEY-MOSS, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "TADDEY-MOSS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "858-560-4009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.