Heather Marie Moore, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60475996 Issued in WA

Practice address

101 W. Cascade Way Suite 202
Cascade Dental Care
Spokane, WA 99208-6016

Phone

(509) 466-9638

Fax

(509) 466-8381

NPI assigned

Jun 24, 2014

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Homegrown Dental LLC

  • Dental Clinic/Center
  • Great Falls, MT
  • NPI 1811562051
  NPD Authorized official

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1174938500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W CASCADE WAY SUITE 202",
            "address_2": "CASCADE DENTAL CARE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086016",
            "telephone_number": "509-466-9638",
            "fax_number": "509-466-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W. CASCADE WAY SUITE 202",
            "address_2": "CASCADE DENTAL CARE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086016",
            "telephone_number": "509-466-9638",
            "fax_number": "509-466-8381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Cascade Way",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992086016",
            "country_code": "US",
            "telephone_number": "509-466-9638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60475996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Marie-Kieser Moore, DNP, APRN
• Connie Moore, MS
• Crystal A Moore
• Elizabeth Susan Moore
• Emily Moore, COTA
• James William Moore, PT
• Jonathan Brooks Moore
• Joy Linda Moore, LMP
• Karen Elaine Moore, MSW
• Kari Beth Moore, PT

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.