MEDICARE: DR. DAXTON K. MOSS AU.D., CCC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231HA2400X	Assistive Technology Practitioner Audiologist	30003472	NC
2	231H00000X	Audiologist	30003472	NC
3	237600000X	Audiologist-Hearing Aid Fitter	30003472	NC

General Provider Information

NPI Number	:	1700850344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAXTON K. MOSS AU.D., CCC-A

Provider Business Mailing Address
First Line	:	123 W CENTER STREET EXT
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27295-1548
Country	:	US
Telephone Number	:	866-983-4022
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 W CENTER STREET EXT
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27295-1548
Country	:	US
Telephone Number	:	866-983-4022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	12/18/2025

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