Pamela A Moore, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7345 Issued in CT

Practice address

836 Farmington Ave
Suite 120
West Hartford, CT 06119-1505

Phone

(860) 523-4239

Fax

(860) 232-9752

NPI assigned

Aug 29, 2006

Sex

Female

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 CT

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

Practice roles

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

• Sydney Epstein DMD & John a Gannatti DDS PC

  • General Practice Dentistry
  • West Hartford, CT
  • NPI 1609982552
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174631006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE",
            "address_2": "SUITE 120",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191505",
            "telephone_number": "860-523-4239",
            "fax_number": "860-232-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE",
            "address_2": "SUITE 120",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191505",
            "telephone_number": "860-523-4239",
            "fax_number": "860-232-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PAMELA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CT",
            "license": "7345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica H. Cipes DMD PC
• Margaret Holland Monos
• Denise Anne Monte, M.S
• Moonah Inc
• Marybeth Aucoin Moore, PA-C, MPH
• Colleen Moosman, P.T.A.
• Alyssa Rose Morabito, BA
• Kimberly A Morales, LCSW
• Morea Psychological Services
• Mabedia Moreno, FNP

• Periodontics in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Periodontics in Connecticut

• 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.