Michael Erich Mossmann, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21269 Issued in MA

Practice address

240 Main St.
South Lancaster, MA 01561

Phone

(978) 368-8474

NPI assigned

Nov 30, 2006

Last updated

Aug 10, 2007By 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

Other names 1

• Dr. Michael Erich Mossmann Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mossmann Family Dental, PC

  • General Practice Dentistry
  • South Lancaster, MA
  • NPI 1174828651
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1902974074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1208",
            "city": "SOUTH LANCASTER",
            "state": "MA",
            "postal_code": "015611208",
            "telephone_number": "978-368-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MAIN ST.",
            "city": "SOUTH LANCASTER",
            "state": "MA",
            "postal_code": "01561",
            "telephone_number": "978-368-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSMANN",
        "first_name": "MICHAEL",
        "middle_name": "ERICH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "MOSSMANN",
            "middle_name": "ERICH",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Peter A. Garofoli, D.D.S.
• Jannice Grunder, DOULA
• Myles F Heffernan Jr., DDS
• Deborah Ellen Keech, LMHC
• Mossmann Family Dental, PC
• Nashaway Dental Group P.C.

• General Practice Dentistry in South Lancaster, MA
• Providers in South Lancaster, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.