Edward Moitoso, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16788 Issued in FL

Practice address

3015 Bobcat Village Center Rd
North Port, FL 34288-8972

Phone

(941) 429-6558

Fax

(941) 429-6559

NPI assigned

Feb 19, 2006

Last updated

Oct 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 FL

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

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

{
    "created_epoch": "1140307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1871568386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 BOBCAT VILLAGE CENTER RD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888972",
            "telephone_number": "941-429-6558",
            "fax_number": "941-429-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 BOBCAT VILLAGE CENTER RD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888972",
            "telephone_number": "941-429-6558",
            "fax_number": "941-429-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOITOSO",
        "first_name": "EDWARD",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-19",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in North Port, FL
• Providers in North Port, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.