W.Jim Moore, Jr. D.D.S.,LTD.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2165 Issued in AR

Legal business name

W.JIM MOORE, JR. D.D.S.,LTD.

Practice address

3024 S Olive St
Pine Bluff, AR 71603-5438

Phone

(870) 536-2650

Fax

(870) 536-3820

NPI assigned

Jun 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. W. Jim Moore Jr., D.D.S., M.S.D.

Title

Owner

Phone

(870) 536-2650

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• William J Moore Jr., D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pine Bluff, AR
  • NPI 1255425765
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215139464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 S OLIVE ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035438",
            "telephone_number": "870-536-2650",
            "fax_number": "870-536-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 S OLIVE ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035438",
            "telephone_number": "870-536-2650",
            "fax_number": "870-536-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.JIM MOORE, JR. D.D.S.,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-536-2650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "2165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• V. Bryan Perry MD PA
• Jon C Valentine, CRNA
• Shanda Vinson, APRN
• Jewell D Vocque, CRNA
• W. Brent Hall, O.D. P.a.
• Bernadine Waddell, RN
• Imran Waheed, M.D.
• Wal-Mart Stores, Inc. (Vision Center 30-3331)
• Fawad H Walajahi, M.D.
• Walgreen Co (Walgreens #15830)

• Orthodontics and Dentofacial Orthopedics Dentistry in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas

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