Active NPI
Prince B Moses, DDS
- Dentist
- Lanham, MD
National Provider Identifier
1891312039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17251
- Practice address
- 9510 Lanham Severn Rd
Lanham, MD 20706-2624 - Phone
- (301) 459-5901
- NPI assigned
- Jul 4, 2020
- Last updated
- Nov 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17251 | MD | Primary |
Addresses
Primary practice location
9510 Lanham Severn Rd
Lanham, MD 20706-2624
Mailing address
2339 Westport LN
Crofton, MD 21114-1210
Phone (518) 649-3046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17251 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prince Moses DDS LLC | Dentist | Current | Accepting new patients |
Locations
9510 Lanham Severn Rd
Lanham, MD 20706
Phone (301) 459-5901
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1891312039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2339 WESTPORT LN",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141210",
"telephone_number": "518-649-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9510 LANHAM SEVERN RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062624",
"telephone_number": "301-459-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "PRINCE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-04",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "17251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.