JACOB BRIAN MOSS DDS
NPI 1255171245
Dentist - General Practice in West Jordan, UT

Active since May 28, 2024PECOS Enrolled
7632 S CAMPUS VIEW DR STE 150, WEST JORDAN, UT 84084(801) 282-4142 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacob Brian Moss Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB BRIAN MOSS DDS (NPI 1255171245) is an individual general practice provider in West Jordan, Utah, licensed in Utah (14004167-9926) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255171245
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB BRIAN MOSSCredential: DDS
Location Address7632 S CAMPUS VIEW DR STE 150West Jordan, UT 84084-5545
Mailing Address2924 S Garden Meadows CvSouth Salt Lake, UT 84106-1302 · (801) 884-9386
Sole ProprietorNo
Enumeration DateMay 28, 2024
NPPES CertifiedMay 28, 2024
NPI 1255171245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 14004167-9926
Definition

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.

7632 S CAMPUS VIEW DR STE 150, West Jordan, UT 84084

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacob Brian Moss Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 84084 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.41
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.03
  • Average New Patient Copayment $21.1
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.5

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.01
  • Minimum Established Patient Price $17.23
  • Maximum Established Patient Price $135.2
  • Average Established Patient Copayment $17
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.8

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (General Practice)
7632 S CAMPUS VIEW DR STE 150
WEST JORDAN, UT 84084
Dentist (Pediatric Dentistry)
7632 S CAMPUS VIEW DR STE 150
WEST JORDAN, UT 84084
Dentist
7632 S CAMPUS VIEW DR STE 150
WEST JORDAN, UT 84084

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255171245, enumerated as an "individual" on May 28, 2024.

The provider is located at 7632 S CAMPUS VIEW DR STE 150 WEST JORDAN, UT 84084 and the phone number is (801) 282-4142.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.