Robert L Moore DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4620 Issued in OK

Legal business name

ROBERT L MOORE DDS

Practice address

1717 W 6TH Ave
Stillwater, OK 74074

Phone

(405) 624-8955

Fax

(405) 743-3366

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert L Moore, DDSNPI 1275615635

Title

Dentist Owner

Phone

(405) 624-8955

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Robert L Moore, DDS

  • General Practice Dentistry
  • Stillwater, OK
  • NPI 1275615635
  NPD (past) Authorized official

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1104083740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744200",
            "telephone_number": "405-624-8955",
            "fax_number": "405-743-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74074",
            "telephone_number": "405-624-8955",
            "fax_number": "405-743-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L MOORE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "405-624-8955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "4620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Ripley, DPT
• Alex Rivera, M.ED., LBA, BCBA
• Marshall Scott Roach, MD
• Galen Robbins, LPN
• Tera Lenay Robbs
• Tiffany Brooke Roberts Hiner, M.S., CCC-SLP
• Kenneth W. Roberts, P.T.
• Lynn B. Roberts, MD
• Mara Roberts, OTR/L
• Kaitlyn Robertson

• Dentist in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.