Whitney Monet Moore, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-022597 Issued in OH

Practice address

3232 E Fall Creek Parkway North Dr
Indianapolis, IN 46205-3858

Phone

(317) 513-8669

NPI assigned

Jan 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Pearl Cosmetic Dentistry & Aesthetics, Inc

  • General Practice Dentistry
  • Dublin, OH
  • NPI 1033579289
  NPD (past) Authorized official
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1013987114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 E FALL CREEK PARKWAY NORTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053858",
            "telephone_number": "317-513-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 E FALL CREEK PARKWAY NORTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053858",
            "telephone_number": "317-513-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WHITNEY",
        "middle_name": "MONET",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010224A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200275740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer Moore
• Suzann Moore, CSFA
• Tara Moore
• Thelma Moore, LCSW
• Toni Moore
• Zachary Moore, LCSWA
• Anni Marie Mooreland, ATC
• Daniel Mooreland, LMFT
• Claire Alexandra Moorman
• Jacob Moorman, NP

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.