Active NPI
Tanner William Moir, D.D.S.
- Dentist
- Laramie, WY
National Provider Identifier
1184075624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1450
- Practice address
- 303 S 8TH St
Laramie, WY 82070-3914 - Phone
- (307) 742-0722
- Fax
- (307) 742-0727
- NPI assigned
- Jun 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1450 | WY | Primary |
Addresses
Primary practice location
303 S 8TH St
Laramie, WY 82070-3914
Mailing address
850 Main St
Lander, WY 82520-3038
Phone (307) 332-2201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145375100 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teresa Ruehl, DDS, P.C. | Past | Accepting new patients | |
| Briant Romney DDS | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Lander, WY
- NPI 1639647589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1184075624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 MAIN ST",
"city": "LANDER",
"state": "WY",
"postal_code": "825203038",
"telephone_number": "307-332-2201",
"fax_number": "307-332-2295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S 8TH ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820703914",
"telephone_number": "307-742-0722",
"fax_number": "307-742-0727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOIR",
"first_name": "TANNER",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WY",
"license": "1450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145375100",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.