OrganizationActive
Shaneka Marks Moss DDS PC
NPI 1487080404 · Dentist · Grand Prairie, TX
Shaneka Marks Moss DDS PC is a Dentist organization in Grand Prairie, TX (NPI 1487080404).
Provider details
- NPI number
- 1487080404
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Shaneka Marks Moss, Owner(972) 352-6677
- License
- 25693 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5103 Magna Carta Blvd
Suite 100
Grand Prairie, TX 75052-5213
Phone: (972) 352-6677
Fax: (972) 352-6678
Street-level locationGet directions
Mailing address
5103 Magna Carta Blvd
Grand Prairie, TX 75052-5213
Other names (DBA / former)
- Doing business as
- Lavender Dental
Registry dates
- Enumerated
- 2013-09-23
- Last updated
- 2013-09-23
Frequently asked questions
- What is Shaneka Marks Moss DDS PC's NPI number?
- Shaneka Marks Moss DDS PC's National Provider Identifier (NPI) is 1487080404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shaneka Marks Moss DDS PC?
- Shaneka Marks Moss DDS PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Shaneka Marks Moss DDS PC located?
- Shaneka Marks Moss DDS PC's practice location on file with NPPES is 5103 Magna Carta Blvd, Grand Prairie, TX 75052-5213.
- What is Shaneka Marks Moss DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Shaneka Marks Moss DDS PC is (972) 352-6677.
- Who is the authorized official for Shaneka Marks Moss DDS PC?
- The authorized official listed on Shaneka Marks Moss DDS PC's NPPES record is Shaneka Marks Moss, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shaneka Marks Moss DDS PC's NPI active?
- Yes — Shaneka Marks Moss DDS PC's NPI (1487080404) is active in the NPPES registry as of the last update on 2013-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.