Organization Active NPI

Richard E. Moore, DDS, PC

  • Endodontics
  • Knoxville, TN
National Provider Identifier
1053539627
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS7145 Issued in TN
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

Updated by the provider on Aug 22, 2020

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.NPI 1649501230
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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.