Danny Moosa, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

30.024288 Issued in OH

Practice address

4091 Powell Rd
Suite 1
Powell, OH 43065-7372

Phone

(614) 659-0018

NPI assigned

Jul 30, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Meckler Dental Providers (Powell), Inc.

  • General Practice Dentistry
  • Powell, OH
  • NPI 1982072179
  NPD (past)

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1821420092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4091 POWELL RD",
            "address_2": "SUITE 1",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657372",
            "telephone_number": "614-659-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 POWELL RD",
            "address_2": "SUITE 1",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657372",
            "telephone_number": "614-659-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSA",
        "first_name": "DANNY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024288",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Mobility LLC
• Clarimar Mogollon
• Karen P Monfort
• Monica Dunn Associates, LLC
• Cynthia Lynn Moore
• Motivated Wellness Solutions, LLC
• Mount Carmel Healthproviders, Inc
• Mowry Chiropractic Inc
• Andrew L Mowry, D.C.
• Charles Muncrief, D.O.

• Dentist in Powell, OH
• Providers in Powell, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.