NPIMap

Organization Active NPI

Robert a. Moran Jr., DDS, Ms, Richard F. Brooks DDS, PA

  • Pediatric Dentistry
  • Cary, NC
National Provider Identifier
1104927912
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6367 Issued in NC
Legal business name
ROBERT A. MORAN JR., DDS, MS, RICHARD F. BROOKS DDS, PA
Practice address
120 Preston Executive Dr
Suite 100
Cary, NC 27513-8445
Phone
(919) 468-9775
Fax
(919) 468-5001
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Authorized official

Name
Robert Anthony Moran Jr., DDSNPI 1801013180
Title
President
Phone
(919) 468-9775

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 6367 NC Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 6320 NC

Addresses

Primary practice location

120 Preston Executive Dr
Suite 100
Cary, NC 27513-8445

Mailing address

120 Preston Executive Dr
Suite 100
Cary, NC 27513-8445
Phone (919) 468-9775

Other identifiers 2

IdentifierTypeStateIssuer
9001WOtherNCNCHC
899-001WMedicaidNC

National Provider Directory

National Provider Directory

Locations

120 Preston Executive Dr
Ste 100
Cary, NC 27513
Phone (919) 468-9775

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1104927912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PRESTON EXECUTIVE DR",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138445",
            "telephone_number": "919-468-9775",
            "fax_number": "919-468-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PRESTON EXECUTIVE DR",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138445",
            "telephone_number": "919-468-9775",
            "fax_number": "919-468-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. MORAN JR., DDS, MS, RICHARD F. BROOKS DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-468-9775",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "6367",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "6320",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCHC",
            "identifier": "9001W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899-001W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.