Individual provider Active NPI

Terry James Moses I

  • Dentist
  • Palmyra, PA
National Provider Identifier
1992941538
Registry record updated Jan 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS021014L Issued in PA
Practice address
50 Fox Rd
Suite 1
Palmyra, PA 17078-8391
Phone
(717) 838-2242
Fax
(717) 838-2242
NPI assigned
Jan 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS021014L PA Primary

Addresses

Primary practice location

50 Fox Rd
Suite 1
Palmyra, PA 17078-8391

Mailing address

50 Fox Rd
Suite 1
Palmyra, PA 17078-8391
Phone (717) 838-2242

Other names 1

  • Dr. Terry James Moses I Professional name

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

LicenseStateTypeSpecialty
DS021014LPAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1231027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231027200000",
    "number": "1992941538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FOX RD",
            "address_2": "SUITE 1",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170788391",
            "telephone_number": "717-838-2242",
            "fax_number": "717-838-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FOX RD",
            "address_2": "SUITE 1",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170788391",
            "telephone_number": "717-838-2242",
            "fax_number": "717-838-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "TERRY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-04",
        "last_updated": "2009-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS021014L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "MOSES",
            "middle_name": "JAMES",
            "prefix": "DR.",
            "suffix": "I",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palmyra, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2009; 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.