DR. KEVIN THOMAS MOSS (NPI# 1437350238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437350238 |
| Entity Type | Individual |
| Full Name | DR. KEVIN THOMAS MOSS |
| Credential | D.M.D. |
| Practice Address |
6800 Main St 315 Downers Grove IL 60516-3493 |
| Practice Telephone | 6309695350 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438035 | Kevin Bryant Moss | Physical Medicine & Rehabilitation | 6050 Enterprise Pkwy, Solon, OH 44139-2762 | 2020-08-21 |
| 1265987937 | Kevin Moss | Internal Medicine | 1055 N Dixie Fwy Ste 1, New Smyrna Beach, FL 32168-6200 | 2016-08-23 |
| 1043332844 | Kevin Carroll Moss | Dentist | 5320 Corporate Center Loop Se, Suite A, Lacey, WA 98503 | 2007-04-04 |
| 1851940761 | Kevin Moss | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-09-04 |
| 1114991734 | Kevin Moss | Surgery | W180n7950 Town Hall Rd, Menomonee Falls, WI 53051-4049 | 2006-02-13 |
| Street Address |
6800 MAIN ST 315 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60516-3493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937345 | Nancy A. Congdon, M.s., P.C. | Audiologist | 6800 Main St, #114, Downers Grove, IL 60516-3493 | 2005-10-21 |
| 1053788331 | Jessica Lynne Anderson | Social Worker | 6800 Main St, Suite 210, Downers Grove, IL 60516-3493 | 2015-08-21 |
| 1790117208 | Illinois Neurotherapy Associates | Chiropractor | 6800 Main St, Ste 210, Downers Grove, IL 60516-3493 | 2013-08-07 |
| 1437591880 | Malgorzata Bryja | Dental Hygienist | 6800 Main St, Downers Grove, IL 60516-3493 | 2013-07-26 |
| 1356608665 | Taek Y. Kim, M.d., S.c. | Specialist | 6800 Main St, Suite 215, Downers Grove, IL 60516-3493 | 2012-04-12 |
| 1154622637 | Deluxe Home Health Care LLC | Home Health | 6800 Main St, Suite 020, Downers Grove, IL 60516-3493 | 2010-11-15 |
| 1548584386 | Christine M Ellis | Dental Hygienist | 6800 Main St, Downers Grove, IL 60516-3493 | 2010-03-23 |
| 1952624686 | Tammy F Bernath | Dental Hygienist | 6800 Main St, Downers Grove, IL 60516-3493 | 2010-03-09 |
| 1508018649 | Robin B Blakkolb Dds Ltd | Dentist | 6800 Main St, Suite 106, Downers Grove, IL 60516-3493 | 2008-10-21 |
| 1679740336 | Glenn R Pouleson | Dentist | 6800 Main St, Apex Endodontics #205, Downers Grove, IL 60516 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015432 | Costula Cassiani | Behavior Technician | 20w438 Camder Drive, Downers Grove, IL 60516 | 2018-06-02 |
| 1346769130 | Zahra Bohri | Dietitian, Registered | 6337 Blodgett Ct, Downers Grove, IL 60516 | 2017-09-13 |
| 1033567359 | Samuel Brooks Allen | Dentist | 6800 Main St., Third Floor, Downers Grove, IL 60516 | 2016-05-26 |
| 1396019469 | Beverly Woltman | Technician/Technologist | 6800 S. Main Street, Suite Ll5, Downers Grove, IL 60516 | 2012-03-06 |
| 1992080642 | Verna Dianne Velazquez | Counselor | 5630 Hillcrest Rd, Downers Grove, IL 60516 | 2011-10-13 |
| 1598048274 | Rabia Ansari | Optometrist | 1530 W 75th St, Downers Grove, IL 60516 | 2011-09-20 |
| 1487971545 | Brilliant Dental LLC | Dentist | 1400 W 75th St, B1, Downers Grove, IL 60516 | 2010-04-29 |
| 1235466558 | Erika D Schultz | Social Worker | 11008 Palmer St., Downers Grove, IL 60516 | 2009-11-06 |
| 1124253836 | Main Street Chiropractic and Wellness Center Ltd | Clinic/Center | 6234 S Main Street, Downers Grove, IL 60516 | 2009-05-26 |
| 1841439320 | Lisa Marie Burknap | Behavioral Analyst | 9 South 329 Cumnor, Downers Grove, IL 60516 | 2009-02-06 |
| Find all providers in zip 60516 | ||||
| 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 |
|---|---|---|---|---|
| 1588215248 | Zayna Ajam | Dentist | 2835 Gabriella St Unit 509, Downers Grove, IL 60515-4048 | 2019-09-24 |
| 1528627213 | Forrest Gillette Quick | Dentist | 2825 Gabriella St Unit 510, Downers Grove, IL 60515-3990 | 2019-06-06 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| 1376961482 | Elizabeth D. Spence, D.m.d., P.C. | Dentist | 5149 Main St, Downers Grove, IL 60515-4615 | 2014-04-04 |
| 1487971545 | Brilliant Dental LLC | Dentist | 1400 W 75th St, B1, Downers Grove, IL 60516 | 2010-04-29 |
| 1487880118 | Frank A Novak | Dentist | 5600 Fairmount Ave, Downers Grove, IL 60516-1415 | 2009-06-09 |
| 1992940829 | Donald N. Tuck Dds Ltd | Dentist | 1121 Warren Ave., Suite 120, Downers Grove, IL 60515-3571 | 2008-12-05 |
| 1407018062 | Francis W. Summers, Dds Inc | Dentist | 3800 Highland Ave Ste 107, Downers Grove, IL 60515-1558 | 2008-06-25 |
| 1588842751 | Sonia Saiz | Dentist | 6311 Woodward Ave, Downers Grove, IL 60516-2311 | 2008-02-09 |
| 1710109145 | D J Provenzale & D J Provenzale Jr | Dentist | 4336 Saratoga Ave, Downers Grove, IL 60515 | 2007-05-03 |
| Find all providers in DOWNERS GROVE | ||||
| City | DOWNERS GROVE |
| Zip Code | 60516 |
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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.