Organization Active NPI

Allen J Moses DDS LTD.

  • Dentist
  • Chicago, IL
National Provider Identifier
1861884777
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ALLEN J MOSES DDS LTD.
Practice address
233 S Wacker Dr
Chicago, IL 60606-6423
Phone
(312) 993-0430
Fax
(312) 993-9140
NPI assigned
Mar 2, 2015
Last updated
Mar 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Dr. Allen Jack Moses, D.D.S.NPI 1417970120
Title
Provider
Phone
(312) 993-0430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X IL Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

233 S Wacker Dr
Chicago, IL 60606-6423

Mailing address

233 S Wacker Dr
Chicago, IL 60606-7147
Phone (312) 993-0430

National Provider Directory

National Provider Directory

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": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1861884777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S WACKER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606067147",
            "telephone_number": "312-993-0430",
            "fax_number": "312-993-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S WACKER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066423",
            "telephone_number": "312-993-0430",
            "fax_number": "312-993-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN J MOSES DDS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "312-993-0430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.