Active NPI
Timothy Mosher, DMD
- Periodontics
- Logan, UT
National Provider Identifier
1912290446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 8678914
- Practice address
- 168 E 200 N
Logan, UT 84321-4036 - Phone
- (435) 753-9470
- NPI assigned
- May 17, 2011
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 8678914 | UT | Primary |
Addresses
Primary practice location
168 E 200 N
Logan, UT 84321-4036
Mailing address
150 E 200 N Ste H
Logan, UT 84321-4036
Phone (435) 753-9470
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 |
|---|---|---|---|
| 8678914 | UT | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David W Hinkson DDS Periodontics Inc | Periodontics | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Periodontics
- Logan, UT
- NPI 1285836684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1912290446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E 200 N STE H",
"city": "LOGAN",
"state": "UT",
"postal_code": "843214036",
"telephone_number": "435-753-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 E 200 N",
"city": "LOGAN",
"state": "UT",
"postal_code": "843214036",
"telephone_number": "435-753-9470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHER",
"first_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-17",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "UT",
"license": "8678914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.