NPIMap

Organization Active NPI

Randall a. Moore, DMD,PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greenwich, CT
National Provider Identifier
1144528134
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
010308 Issued in CT
Legal business name
RANDALL A. MOORE, DMD,PC
Practice address
141 Milbank Ave
Greenwich, CT 06830-6616
Phone
(203) 869-3377
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Dr. Randall A. Moore, DMDNPI 1013386945
Title
Owner
Phone
(203) 869-3377

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 010308 CT Primary

Addresses

Primary practice location

141 Milbank Ave
Greenwich, CT 06830-6616

Mailing address

141 Milbank Ave
Greenwich, CT 06830-6616
Phone (203) 869-3377

National Provider Directory

National Provider Directory

Locations

141 Milbank Ave
Greenwich, CT 06830
Phone (203) 869-3377

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": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1144528134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MILBANK AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306616",
            "telephone_number": "203-869-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MILBANK AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306616",
            "telephone_number": "203-869-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL A. MOORE, DMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-869-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "010308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.