Individual provider Active NPI

Lynne Marie Moseley, D.D.S.

  • General Practice Dentistry
  • Southfield, MI
National Provider Identifier
1992755136
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901014118 Issued in MI
Practice address
30021 Greenfield Rd
Southfield, MI 48076-1509
Phone
(248) 594-8777
Fax
(248) 594-9779
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901014118 MI Primary

Addresses

Primary practice location

30021 Greenfield Rd
Southfield, MI 48076-1509

Mailing address

32364 Arlington Dr
Beverly Hills, MI 48025-4218
Phone (248) 593-2995

Other identifiers 2

IdentifierTypeStateIssuer
4752030MedicaidMI
D141180OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20180417002696 MI Practitioner - Dentist 8325335409 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Ann Karmanos Cancer Hospital CurrentSince Feb 1, 2018 Accepting new patients
Barbara Ann Karmanos Cancer Hospital CurrentSince Feb 1, 2018 Accepting new patients

Locations

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

Interoperability endpoints

  • Direct secure messaging: lmoseley@direct.dmc.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992755136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32364 ARLINGTON DR",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480254218",
            "telephone_number": "248-593-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30021 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761509",
            "telephone_number": "248-594-8777",
            "fax_number": "248-594-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSELEY",
        "first_name": "LYNNE",
        "middle_name": "MARIE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4752030",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "D141180",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.