David Moss, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-3976 Issued in ID

Practice address

9095 N Hess St
Suite 201
Hayden, ID 83835-9827

Phone

(208) 772-4500

Fax

(208) 772-4551

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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 ID

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moss Family Dentistry, P.a.

  • Dental Clinic/Center
  • Hayden, ID
  • NPI 1568601250
  NPD (past) Authorized official
• Ramsey Dental Group PLLC

  • General Practice Dentistry
  • Hayden, ID
  • NPI 1215611827
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1891869731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9095 N HESS ST",
            "address_2": "STE 201",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359827",
            "telephone_number": "208-772-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9095 N HESS ST",
            "address_2": "SUITE 201",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359827",
            "telephone_number": "208-772-4500",
            "fax_number": "208-772-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Morris, RD
• Robert Morrissette
• Jaykob Allen Morse
• Dane Mosher
• Moss Family Dentistry, P.a.
• Mountaintop LLC
• Tamara K Nelson
• Valerie Kei Nelson, ARNP
• Stevie Nesbitt
• No Limits Access LLC (Next Day Access Spokane/Coeur d'Alene)

• General Practice Dentistry in Hayden, ID
• Providers in Hayden, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.