NPIMap

Organization Active NPI

Moore Dental Care

  • Customized Equipment (DME)
  • Fort Smith, AR
National Provider Identifier
1194154443
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
3043 Issued in AR
Legal business name
MOORE DENTAL CARE
Practice address
2913 South 74TH Street
Fort Smith, AR 72903
Phone
(479) 484-5050
Fax
(479) 484-5052
NPI assigned
Nov 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Dr. William Wesley Moore, DDS
Title
Owner
Phone
(479) 484-5050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Customized Equipment (DME) 332BC3200X 3043 AR Primary

Addresses

Primary practice location

2913 South 74TH Street
Fort Smith, AR 72903

Mailing address

2913 South 74TH Street
Fort Smith, AR 72903
Phone (479) 484-5050

Other names 1

  • Moore Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

2913 S 74th St
Fort Smith, AR 72903
Phone (479) 484-5050

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1194154443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 SOUTH 74TH STREET",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-484-5050",
            "fax_number": "479-484-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 SOUTH 74TH STREET",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-484-5050",
            "fax_number": "479-484-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-484-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AR",
            "license": "3043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moore Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

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

Verify at the official NPI Registry.