Moss Foot Clinic PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

001094 Issued in MI

Legal business name

MOSS FOOT CLINIC PLLC

Practice address

27501 Warren Rd
Garden City, MI 48135-2253

Phone

(734) 427-7111

Fax

(734) 427-1377

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Moss, DPMNPI 1235185414

Title

Owner/Member

Phone

(734) 427-7111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• David M Moss, D.P.M.

  • Podiatrist
  • Garden City, MI
  • NPI 1235185414
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1780855221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27501 WARREN RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352253",
            "telephone_number": "734-427-7111",
            "fax_number": "734-427-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27501 WARREN RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352253",
            "telephone_number": "734-427-7111",
            "fax_number": "734-427-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS FOOT CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "734-427-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "001094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5188247",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monroe Smiles PLLC,
• Carolyn Moore
• Jose Antonio Mora-San Antonio
• Cynthia Morin, P.A.
• Geralyn Marie Morris, MACCCA
• David M Moss, D.P.M.
• Rashona A. Moss, DO
• Motion Physical Therapy
• Abdelmoughite Mouttaki, D.O
• Move Well Chiropractic LLC

• Podiatrist in Garden City, MI
• Providers in Garden City, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.