DR. THOMAS RYAN MOSS (NPI# 1013026624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013026624 |
| Entity Type | Individual |
| Full Name | DR. THOMAS RYAN MOSS |
| Credential | DDS |
| Practice Address |
1415 E State Street Rockford IL 61104 |
| Practice Telephone | 8159645121 |
| Practice Fax Number | 8159646105 |
| Mailing Telephone | 8159645121 |
| Mailing Fax Number | 8159646105 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 19A14367 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699836387 | Thomas James Moss | Dentist | 10020 S Kedzie Ave, Evergreen Park, IL 60805 | 2006-12-13 |
| 1750925160 | Thomas Hudson Moss Iv | Physical Therapist | 1711 Martha Berry Blvd Nw, Rome, GA 30165-1623 | 2019-10-30 |
| 1558783712 | Thomas Joseph Moss | Specialist | 7120 Hayvenhurst Ave, Suite 317, Van Nuys, CA 91406-3843 | 2014-01-07 |
| 1598836249 | Thomas Edward Moss IIi | Pharmacist | 1804 59th St. West, Bradenton, FL 34209-4616 | 2006-11-13 |
| 1083698187 | Thomas H Moss | Anesthesiology | 141 Ben Bolt Ave, Tazewell, VA 24651-9700 | 2005-12-01 |
| Street Address |
1415 E STATE STREET |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
| 1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
| 1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
| 1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
| 1962457499 | Lynn Mary Kutsche | Pediatrics | 1415 E State St, Suite 601, Rockford, IL 61104 | 2006-05-23 |
| Find all providers in zip 61104 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495074 | Tiffany Kimmel | Dentist | 6085 9 Mile Rd Ne, Rockford, MI 49341-7747 | 2020-07-23 |
| 1174016893 | Above & Beyond Denistry, LLC | Dentist | 364 Financial Ct Ste A, Rockford, IL 61107-6668 | 2018-06-07 |
| 1396255097 | Edwin Gonzalez Montoya | Dentist | 6585 E State St, Rockford, IL 61108-2542 | 2017-10-07 |
| 1124557228 | Alex Moore | Dentist | 6050 Brynwood Dr Ste 205, Rockford, IL 61114-6579 | 2017-06-12 |
| 1245686096 | Adriana Carolina Padron | Dentist | 275 Bienterra Trl Apt 4, Rockford, IL 61107-5882 | 2016-05-11 |
| 1275946113 | Jeffrey Heinz | Dentist | 158 Marcell Dr Ne Ste A, Rockford, MI 49341-1393 | 2014-06-09 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1326390113 | Apex-northwestern Dental Group LLP | Dentist | 364 Financial Ct, Suite A, Rockford, IL 61107-6668 | 2012-10-04 |
| 1285951004 | Bogdan Robert Busan | Dentist | 4035 Morsay Dr Ste 1, Rockford, IL 61107-4875 | 2010-05-03 |
| 1689800021 | Scott Strickland Dds Pllc | Dentist | 380 E. Division St., Rockford, MI 49341 | 2009-05-29 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.