Randall Moore, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

010308 Issued in CT

Practice address

351 Manville Rd
Pleasantville, NY 10570-2152

Phone

(914) 769-2626

NPI assigned

Sep 22, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Randall a. Moore, DMD,PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pleasantville, NY
  • NPI 1689972663
  NPD (past) Authorized official
• Randall a. Moore, DMD,PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greenwich, CT
  • NPI 1144528134
  NPD (past) Authorized official

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1013386945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 MANVILLE RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702152",
            "telephone_number": "914-769-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 MANVILLE RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702152",
            "telephone_number": "914-769-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-22",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "010308",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "043546-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard P Micera, PSYD, LP
• Michael J. Geremino, D.D.S., P.C.
• Gregory Mitchell
• Maya Montalvo
• Timothy Moody, MSW
• Jessica Morello, MSED
• Christina Morgan
• Anna Moriarty
• Keiwan Fitzroy Morrison
• Eden Abigail Morss, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Pleasantville, NY
• Providers in Pleasantville, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.