DR. WALTER CARL MOSES III DMD
NPI 1770977134
Oral & Maxillofacial Surgery in Greenwood, MS

Active since March 24, 2015PECOS Enrolled
202 W PARK AVE, GREENWOOD, MS 38930(662) 219-0044(662) 219-0045 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 15, 2019, Aug 20, 2019 (2 updates tracked since 2019).

About Dr. Walter Carl Moses Iii Dmd NPPES

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

DR. WALTER CARL MOSES III DMD (NPI 1770977134) is an individual oral & maxillofacial surgery provider in Greenwood, Mississippi, licensed in Mississippi (3793-15) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ruleville.

NPPES Registry Identity

NPI1770977134
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. WALTER CARL MOSES IIICredential: DMD
Location Address202 W PARK AVEGreenwood, MS 38930-3009
Mailing Address622 County Road 190Greenwood, MS 38930-6980 · (662) 299-0270
Fax(662) 219-0045
Sole ProprietorYes
Enumeration DateMarch 24, 2015
Last NPPES UpdateOctober 15, 20192 updates tracked since enumeration
NPI 1770977134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in MS · 3793-15
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

202 W PARK AVE, Greenwood, MS 38930

Secondary Practice Location 1

Location 1840 N Oak AveRuleville, MS 38771-3227 · Phone (662) 756-4000

Other Identifiers 1

Medicaid07720764MS

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)

Dr. Walter Carl Moses Iii Dmd 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.

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.

Specialist
202 W PARK AVE
GREENWOOD, MS 38930
Specialist
202 W PARK AVE
GREENWOOD, MS 38930
Clinic/Center (Health Service)
202 W PARK AVE
GREENWOOD, MS 38930
Nurse Practitioner (Family)
202 W PARK AVE
GREENWOOD, MS 38930
Dentist (Oral and Maxillofacial Surgery)
202 W PARK AVE
GREENWOOD, MS 38930
Internal Medicine (Gastroenterology)
202 W PARK AVE
GREENWOOD, MS 38930
Internal Medicine (Gastroenterology)
202 W PARK AVE
GREENWOOD, MS 38930
Specialist
202 W PARK AVE
GREENWOOD, MS 38930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Moses's NPI number?

The NPI number for Walter Moses is 1770977134. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Where is Walter Moses located?

Walter Moses practices at 202 W Park Ave, Greenwood, MS 38930. The listed phone number is (662) 219-0044.

What is Walter Moses's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Walter Moses enrolled in Medicare?

Yes. Walter Moses is registered in the Medicare PECOS enrollment system.

What insurance does Walter Moses accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 3 other insurers list Walter Moses as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walter Moses was last updated on October 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.