Darin R Mooso, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D-3237 Issued in ID

Practice address

4105 Clock Tower Ave
Caldwell, ID 83607-5006

Phone

(208) 455-9498

Fax

(208) 455-8535

NPI assigned

Sep 20, 2006

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

Enrolled in ID

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

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

• Clock Tower Dental PA

  • General Practice Dentistry
  • Caldwell, ID
  • NPI 1720128432
  Authorized official Same address or phone
• Darin R. Mooso

  • Dentist
  • Caldwell, ID
  • NPI 1184160566
  Authorized official Same address or phone
• Morning Star Dental PA

  • General Practice Dentistry
  • Caldwell, ID
  • NPI 1114069903
  Authorized official Same address or phone

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841398286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 CLOCK TOWER AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075006",
            "telephone_number": "208-455-9498",
            "fax_number": "208-455-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 CLOCK TOWER AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075006",
            "telephone_number": "208-455-9498",
            "fax_number": "208-455-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSO",
        "first_name": "DARIN",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-3237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Mohr, R.N.
• Rachel Irene Molm, RPH
• Richard A. Montgomery, M.D.
• Steven Richard Moore, MPT
• Susan Moore
• Dora Mora-Poston, M.A.
• Adam Moravek
• Kimberly Morin, LPC, LPSC
• Morning Star Dental PA
• Graceful Iris Morris, FNP

• Dentist in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.