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Deactivated NPI 1831275288 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Eldon Moser , DDS

Dentist - General Practice • Ventura, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Moser has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 28, 2006
NPI Deactivation Date March 18, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Moser, DDS was a registered Dentist - General Practice practicing in Ventura, CA. Throughout an active medical career spanning 16 years, Dr. Moser provided care at the practice location at 5500 TELEGRAPH ROAD until profile deactivation on 2022-03-18.

Practice Location & Contact Primary Location

Practice Address

5500 Telegraph Road
# 271

Ventura, CA 93003

Telephone 8056541211
Fax 8056541225

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ventura, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
77 Specialists

Practicing in Ventura, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 17521

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 18, 2022

Record deactivated on March 18, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5500 TELEGRAPH ROAD, # 271, VENTURA, CA 93003 (Tel: 8056541211)

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Updated Business Mailing Address July 08, 2007

Registered at 5500 TELEGRAPH ROAD, # 271, VENTURA, CA 93003 (Tel: 8056541211)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK MOSER, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #17521 in CA)

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Initial NPI Registration & Enumeration October 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831275288
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2006
Last Update: July 08, 2007
Deactivation Date: March 18, 2022

Mailing Address

5500 Telegraph Road, # 271

Ventura, CA 93003

Phone: 8056541211

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.