Alfred P Moore, DENTIST

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401004269 Issued in VA

Practice address

235 Wythe Creek Rd
Poquoson, VA 23662-1911

Phone

(757) 868-8152

Fax

(757) 868-4507

NPI assigned

Jan 19, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232323200000",
    "number": "1013154673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WYTHE CREEK RD",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621911",
            "telephone_number": "757-868-8152",
            "fax_number": "757-868-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WYTHE CREEK RD",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621911",
            "telephone_number": "757-868-8152",
            "fax_number": "757-868-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALFRED",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401004269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Brown Margeson, LCSW
• Janet V. Marvel, L.C.S.W.
• Bruce Andrew McEwen, D.C.
• Melonie Evans Melton, M.S.,CCC-SLP
• Hedley N Mendez III, MD
• Dale Alan Moore Sr., PHARM.D
• Imani Janea' Parker
• Rebecca Peek, CD(DONA)
• Andrea Peterson, CCC-SLP
• Poquoson Chiropractic Clinic, P.C.

• General Practice Dentistry in Poquoson, VA
• Providers in Poquoson, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.