Organization Active NPI

Norman P. Moore,DDS,LTD.

  • General Practice Dentistry
  • Norfolk, VA
National Provider Identifier
1174546550
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2573 Issued in VA
Legal business name
NORMAN P. MOORE,DDS,LTD.
Practice address
909 Glenrock Rd
Suite -C
Norfolk, VA 23502-3796
Phone
(757) 461-8760
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Norman Patrick Moore, DDS
Title
President
Phone
(757) 461-8760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2573 VA Primary

Addresses

Primary practice location

909 Glenrock Rd
Suite -C
Norfolk, VA 23502-3796

Mailing address

909 Glenrock Road
Suite -C
Norfolk, VA 23502
Phone (757) 461-8760

Other names 1

  • NA Other name

National Provider Directory

National Provider Directory

Locations

909 Glenrock Rd
Ste C
Norfolk, VA 23502
Phone (757) 461-8760

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174546550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 GLENROCK ROAD",
            "address_2": "SUITE -C",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23502",
            "telephone_number": "757-461-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 GLENROCK RD",
            "address_2": "SUITE -C",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023796",
            "telephone_number": "757-461-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN P. MOORE,DDS,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-461-8760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "2573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.