Martin Joseph Moore, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6108 Issued in KY

Practice address

6961 Burlington Pike
Florence, KY 41042

Phone

(859) 371-4422

Fax

(859) 282-5482

NPI assigned

Dec 2, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Moore Dental Services, Inc

  • Dentist
  • Florence, KY
  • NPI 1205968120
  NPD Authorized official
• Robert R Ross DDS PSC

  • General Practice Dentistry
  • Florence, KY
  • NPI 1568539062

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1225306483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6961 BURLINGTON PIKE",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-371-4422",
            "fax_number": "859-282-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6961 BURLINGTON PIKE",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-371-4422",
            "fax_number": "859-282-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARTIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-02",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "6108",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "6108",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60061082",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashli Moore, APRN
• Ashton Moore, DMD
• Brian Anthony Moore, D.M.D.
• Laura Matthys Moore, MD
• Lindsey Moore, M.ED.
• Miriam Moosnick, D.O.
• Hannah Elaine Morehead
• Emily L Morin, LPCA
• Constance Morris, LCSW
• James Michael Morrow, D.P.M.

• Pediatric Dentistry in Florence, KY
• Providers in Florence, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.