Casey S. Moore, DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CASEY S. MOORE, DDS LLC

Practice address

3082 S Delaware Ave
Springfield, MO 65804-6418

Phone

(417) 887-1397

NPI assigned

Feb 11, 2019

Organization subpart

No

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

Authorized official

Name

Casey Moore, DDSNPI 1811984024

Title

Owner

Phone

(417) 887-1397

Specialties & licenses 1

Addresses

Other names 1

• Moore Family Dental Doing business as

Locations

Practitioners 1

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

• Casey S. Moore, D.D.S.

  • General Practice Dentistry
  • Springfield, MO
  • NPI 1811984024
  NPD (past) Authorized official

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1194281410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3082 S DELAWARE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046418",
            "telephone_number": "417-887-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3082 S DELAWARE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046418",
            "telephone_number": "417-887-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY S. MOORE, DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-887-1397",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebekah E. Casado
• Susan Casady, LCSW
• Anthony Casanova, M.D.
• Mark Anthony Cascairo, D.O.
• Amber Nicole Case, PA
• Teresa C Casey, APRN
• Angela Cash, LMT, CMMP, NCBTMB
• Jerry F. Cash, DDS
• Mercy Cash
• Tara Rebecca Cash, D.D.S.

• Dental Clinic/Center in Springfield, MO
• Providers in Springfield, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.