NPIMap

Organization Active NPI

Kristin N. Moore, D.M.D., M.S., P.C.

Doing business as Moore Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lake Zurich, IL
National Provider Identifier
1184013575
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
021.002474 Issued in IL
Legal business name
KRISTIN N. MOORE, D.M.D., M.S., P.C.
Doing business as
Moore Orthodontics
Practice address
900 West Il Route 22
Suite 170
Lake Zurich, IL 60047
Phone
(847) 438-9090
NPI assigned
Jan 22, 2015
Last updated
Jan 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Kristin MooreNPI 1639503519
Title
Manager/Owner
Phone
(847) 401-3283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 021.002474 IL Primary

Addresses

Primary practice location

900 West Il Route 22
Suite 170
Lake Zurich, IL 60047

Mailing address

900 West Route 22
Suite 170
Lake Zurich, IL 60047
Phone (847) 438-9090

Other identifiers 1

IdentifierTypeStateIssuer
1639503519OtherILNPI

Other names 1

  • Moore Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

900 W State Route 22
Ste 170
Lake Zurich, IL 60047
Phone (847) 438-9090

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1184013575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WEST ROUTE 22",
            "address_2": "SUITE 170",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "60047",
            "telephone_number": "847-438-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WEST IL ROUTE 22",
            "address_2": "SUITE 170",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "60047",
            "telephone_number": "847-438-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN N. MOORE, D.M.D., M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "847-401-3283",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021.002474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639503519",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.