Active NPI
Norman P. Moore,DDS,LTD.
- General Practice Dentistry
- Norfolk, VA
National Provider Identifier
1174546550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2573
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.