Shante' L Mosley, RDH, BSDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH012610 Issued in GA

Practice address

2118 Belhaven LN SE
Atlanta, GA 30315-6802

Phone

(404) 698-6629

NPI assigned

Apr 20, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1881214864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 BELHAVEN LN SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303156802",
            "telephone_number": "404-698-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 BELHAVEN LN SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303156802",
            "telephone_number": "404-698-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "SHANTE'",
        "middle_name": "L",
        "credential": "RDH, BSDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "GA",
            "license": "DH012610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tal Jordan Moskowitz, MD
• Brianne Rebekah Mosley, RN
• Dominique Alyssa Mosley, MD
• Jonathan Mosley, NP
• Nakaria Mosley
• Leticia Mosqueda
• Amy Marie Moss
• Ariana Moss, RN
• Ashley Denise Moss, RPH, MPH
• Cierra Moss, MD

• Dental Hygienist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dental Hygienist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.