DR. DOUGLAS ROBERT MOSS (NPI# 1164457636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164457636 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS ROBERT MOSS |
| Credential | DDS |
| Practice Address |
836 W Wood St Willows CA 95988-2322 |
| Practice Telephone | 5309347720 |
| Mailing Telephone | 5309347720 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
58401 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609801687 | Douglas Brian Moss | Podiatrist | 7855 38th Ave N Ste 200, St Petersburg, FL 33710-1134 | 2006-07-11 |
| 1679542781 | Douglas Moss | Emergency Medicine | 814 Northwood Park Dr, Valdosta, GA 31602-1398 | 2006-03-14 |
| 1174158216 | Douglas Moss | Student in an Organized Health Care Education/Training Program | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-03-09 |
| 1467704080 | Douglas Wayne Moss | Pharmacist | 356 Wv Highway 5 E, Glenville, WV 26351-7602 | 2012-10-05 |
| 1114016631 | Douglas Moss | Obstetrics & Gynecology | 1160 Park Avenue, New York, NY 10128 | 2006-10-12 |
| Street Address |
836 W WOOD ST |
| City | WILLOWS |
| State | CA |
| Zip Code | 95988-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457415192 | Eric D Wunsch | Chiropractor | 414 N. Plumas Street, Willows, CA 95988 | 2006-12-20 |
| 1255438370 | Barbara Lynne Ackerman | Surgery | 130 Enright Ave, Willows, CA 95988 | 2006-09-20 |
| 1447282868 | Michell Danforth Knight | Physician Assistant | 460 W Sycamore St, Willows, CA 95988 | 2006-07-07 |
| 1770528457 | Marc Steven Bracy | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-18 |
| 1619949138 | John Richard Pierson | Dentist | 249 North Villa, Willows, CA 95988 | 2006-02-07 |
| 1619379922 | Gillian J Barbaria | Physical Therapist | 116 S Lassen St, Willows, CA 95988 | 2014-09-17 |
| 1558547828 | John Pierson Dds Inc | Dentist | 249 North Villa, Willows, CA 95988 | 2008-01-16 |
| 1891837449 | Zsolt H Kissevich | Dentist | 207 N Butte St, Willows, CA 95988 | 2007-02-12 |
| 1609812650 | Gary M Carson | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-20 |
| 1497791404 | Everett Patrick Shareck Jr. | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-20 |
| Find all providers in zip 95988 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790803906 | Hani Morshed Radaideh | Dentist | 1248 W Sycamore St, Willows, CA 95988-2603 | 2007-03-26 |
| 1326115767 | Dennis S. Thodas | Dentist | 302 W Walnut St, Willows, CA 95988-2819 | 2006-11-29 |
| 1619949138 | John Richard Pierson | Dentist | 249 North Villa, Willows, CA 95988 | 2006-02-07 |
| 1639301716 | Charmaine G Ng | Dentist | 207 N Butte St, Willows, CA 95988-2803 | 2009-08-21 |
| 1881856953 | Loyal Arlen Miner | Dentist | 207 N Butte St, Willows, CA 95988-2803 | 2008-06-30 |
| 1558547828 | John Pierson Dds Inc | Dentist | 249 North Villa, Willows, CA 95988 | 2008-01-16 |
| 1265622419 | Rocio Wilson | Dentist | 207 N Butte St, Willows, CA 95988-2803 | 2007-07-25 |
| 1912100355 | Donald Louis French | Dentist | 207 N Butte St, Willows, CA 95988-2803 | 2007-06-05 |
| 1891837449 | Zsolt H Kissevich | Dentist | 207 N Butte St, Willows, CA 95988 | 2007-02-12 |
| 1144242397 | Chih-ai Lu | Dentist | 207 N Butte St, Willows, CA 95988-2803 | 2006-07-24 |
| Find all providers in WILLOWS | ||||
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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.