James E Moore Jr., DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2215 Issued in AR

Practice address

200 S University Ave
Ste 200
Little Rock, AR 72205-5230

Phone

(501) 666-7623

Fax

(501) 666-3410

NPI assigned

Dec 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cabun Rural Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hampton, AR
  • NPI 1912946807
  Medicare reassignment NPD
• Cabun Rural Health Services, Inc

  dba Bearden Health Center

  • Federally Qualified Health Center (FQHC)
  • Bearden, AR
  • NPI 1265476402
  NPD
• Cabun Rural Health Services, Inc

  dba Lewisville Family Practice Center

  • Federally Qualified Health Center (FQHC)
  • Lewisville, AR
  • NPI 1437193646
  NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154481109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S UNIVERSITY AVE",
            "address_2": "STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055230",
            "telephone_number": "501-666-7623",
            "fax_number": "501-666-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S UNIVERSITY AVE",
            "address_2": "STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055230",
            "telephone_number": "501-666-7623",
            "fax_number": "501-666-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "DDS PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth B Moore, P.T.
• Erica G Moore, AUDF
• Heather Breckenridge Moore, APRN
• Heather Christine Moore, M.D.
• Iris Denise Moore, PLMSW
• Janequa Shonta Moore, LMSW
• Jaquese Moore, RN
• Jeffry Dean Moore, MS, LPC, LAMFT
• John Taylor Moore, M.D.
• Jonathan Moore

• General Practice Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.