KATRINA MOSLEY D.D.S
NPI 1326440538
Dentist in Chicago, IL

Q: What is Katrina Mosley's NPI number?

The NPI number for Katrina Mosley is 1326440538. It was assigned to this individual provider in the NPPES registry on September 18, 2014.

Q: What is Katrina Mosley's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Katrina Mosley was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 18, 2014PECOS Enrolled

570 E 115TH ST, CHICAGO, IL 60628(773) 768-5000 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2021, Dec 4, 2015 (2 updates tracked since 2015).

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About Katrina Mosley D.d.s NPPES

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

KATRINA MOSLEY D.D.S (NPI 1326440538) is an individual dentist in Chicago, Illinois, licensed in Illinois (019.029990) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326440538

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKATRINA MOSLEYCredential: D.D.S

Location Address570 E 115TH STChicago, IL 60628-5740

Mailing Address570 E 115th StChicago, IL 60628-5740 · (773) 768-5000

Phone(773) 768-5000

Sole ProprietorYes

Enumeration DateSeptember 18, 2014

Last NPPES UpdateApril 27, 20212 updates tracked since enumeration

NPPES CertifiedApril 27, 2021

✔ NPI 1326440538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.029990

Definition

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.

570 E 115TH ST, Chicago, IL 60628

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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)

Katrina Mosley D.d.s 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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 60628 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA MICHELLE DOUGLAS D.M.D.

Dentist (General Practice)