Stanley Drew Moss, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401008413 Issued in VA

Practice address

6224 Portsmouth Blvd
Suite 100
Portsmouth, VA 23701-1345

Phone

(757) 488-8884

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Steven L Lang DDS

  • General Practice Dentistry
  • Portsmouth, VA
  • NPI 1649317629
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831211671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 PORTSMOUTH BLVD",
            "address_2": "SUITE 100",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237011345",
            "telephone_number": "757-488-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 PORTSMOUTH BLVD",
            "address_2": "SUITE 100",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237011345",
            "telephone_number": "757-488-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "STANLEY",
        "middle_name": "DREW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhayma Moses, SLP
• Richard Parnell Moses, MD
• Stephanie Nicole Moses, DO
• Nathan Adam Moss Sr., M.D.
• Nicole Moss, MD
• Mosta G Haque MD PC
• Gail P Mota, PHARMD
• Roxanna Mota, DO
• Alexandra Moulis, DO
• Laura May Mourafetis, M.D.

• General Practice Dentistry in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.