Active NPI
Richard E. Moore, DDS, PC
- Endodontics
- Knoxville, TN
National Provider Identifier
1053539627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS7145
- Legal business name
- RICHARD E. MOORE, DDS, PC
- Practice address
- 11217 W Point Dr
Knoxville, TN 37934-2838 - Phone
- (865) 675-8877
- Fax
- (865) 675-0088
- NPI assigned
- Apr 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Elliott Moore, D.D.S.
- Title
- President - Owner
- Phone
- (865) 675-8877
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DS7145 | TN | Primary |
Addresses
Primary practice location
11217 W Point Dr
Knoxville, TN 37934-2838
Mailing address
11217 W Point Dr
Knoxville, TN 37934-2838
Phone (865) 675-8877
Other names 1
- Tennessee Valley Endodontics
National Provider Directory
National Provider DirectoryLocations
11217 W Point Dr
Knoxville, TN 37934
Phone (865) 675-8877
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Knoxville, TN
- NPI 1649501230
-
- Dentist
- Knoxville, TN
- NPI 1962749283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053539627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11217 W POINT DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379342838",
"telephone_number": "865-675-8877",
"fax_number": "865-675-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11217 W POINT DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379342838",
"telephone_number": "865-675-8877",
"fax_number": "865-675-0088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD E. MOORE, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "ELLIOTT",
"authorized_official_title_or_position": "PRESIDENT - OWNER",
"authorized_official_telephone_number": "865-675-8877",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "TN",
"license": "DS7145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tennessee Valley Endodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.