Charles Ray Moser, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

84142037 Issued in UT

Practice address

1245 Capitol St
Suite #122-N
Ogden, UT 84401-2847

Phone

(801) 394-4549

Fax

(801) 394-0058

NPI assigned

Aug 5, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in UT

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1891704516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 CAPITOL ST",
            "address_2": "SUITE #122-N",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012847",
            "telephone_number": "801-394-4549",
            "fax_number": "801-394-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CAPITOL ST",
            "address_2": "SUITE #122-N",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012847",
            "telephone_number": "801-394-4549",
            "fax_number": "801-394-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "CHARLES",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "UT",
            "license": "84142037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC EMPLOYEES DENTAL",
            "identifier": "870428888",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "623246",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Morris
• Abigail Smith Mortensen, RN
• Brianne Alys Mortensen
• Nannett Mortenson
• John T Morton, MSW
• Heidi Moss
• Cheryl Ione Moulding, LCSW
• Kari Ann Moulding, CSW
• Melissa Moulton
• Scott Atkin Moulton, D.O.

• Endodontics in Ogden, UT
• Providers in Ogden, UT by specialty
• Endodontics in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.