David E Moore DDS, PS

Primary specialty

DentistTaxonomy code 122300000X

License

60381727 Issued in WA

Legal business name

DAVID E MOORE DDS, PS

Practice address

11 N 11TH Ave Ste 107
Yakima, WA 98902-3085

Phone

(509) 457-4532

Fax

(509) 453-0175

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

Charlene G Johnson

Title

Office Cordinator

Phone

(509) 457-4532

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tomas E Holbrook, DDS

  • Dentist
  • Yakima, WA
  • NPI 1033428180
  NPD (past)
• David E Moore, DDS

  • Dentist
  • Yakima, WA
  • NPI 1679915060
  NPD (past)

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1083079164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N 11TH AVE STE 107",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023085",
            "telephone_number": "509-457-4532",
            "fax_number": "509-453-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N 11TH AVE STE 107",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023085",
            "telephone_number": "509-457-4532",
            "fax_number": "509-453-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E MOORE DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE CORDINATOR",
        "authorized_official_telephone_number": "509-457-4532"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "60381727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029904",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariella Davenport
• Nathaniel A Davenport, MD
• Peggy Davenport
• David a Clark DDS PLLC
• David a Clark DDS PLLC
• David R Brown DDS PS
• Renee David, LICSW
• Ryan James David, D.O.
• Eileen Davidson
• Michael D Davidson, SUDPT

• Dentist in Yakima, WA
• Providers in Yakima, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.