Active NPI
Dane Mosher
- Family Medicine Physician
- Hayden, ID
National Provider Identifier
1932398310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- O-1644
- Practice address
- 8880 N Hess St Unit 1
Hayden, ID 83835-8741 - Phone
- (208) 772-5204
- NPI assigned
- Oct 22, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | O-1644 | ID | Primary |
Addresses
Primary practice location
8880 N Hess St Unit 1
Hayden, ID 83835-8741
Mailing address
6848 N Government Way Ste 114
PMB 9
Dalton Gardens, ID 83815-7799
Phone (512) 222-3263
Other practice location 1
2238 N Government Way
Coeur d Alene, ID 83814
Phone (208) 254-1986
Other practice location 2
1700 Rio Grande St
Austin, TX 78701-1124
Phone (512) 732-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-1644 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Idaho DPC, PLLC | Family Medicine | Past | Accepting new patients |
| Emmaus Community Healthcare, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Hayden, ID
- NPI 1124974092
-
dba DBA: Piney Flats Urgent Care
- General Practice Physician
- Piney Flats, TN
- NPI 1356379093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1932398310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6848 N GOVERNMENT WAY STE 114",
"address_2": "PMB 9",
"city": "DALTON GARDENS",
"state": "ID",
"postal_code": "838157799",
"telephone_number": "512-222-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8880 N HESS ST UNIT 1",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838358741",
"telephone_number": "208-772-5204"
}
],
"practiceLocations": [
{
"address_1": "2238 N Government Way",
"address_purpose": "LOCATION",
"city": "Coeur d Alene",
"state": "ID",
"postal_code": "83814",
"country_code": "US",
"telephone_number": "208-254-1986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Rio Grande St",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787011124",
"country_code": "US",
"telephone_number": "512-732-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSHER",
"first_name": "DANE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "O-1644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayden, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.