NPIMap

Organization Active NPI

Larry J. Moray, DDS, Ms, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rocky Mount, NC
National Provider Identifier
1235340803
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
LARRY J. MORAY, DDS, MS, PA
Practice address
120 Clinton CT
Rocky Mount, NC 27804-2403
Phone
(524) 511-0102
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Dr. Lawrence Joel Moray, DDS, MSNPI 1518035567
Title
Owner
Phone
(919) 240-7280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

120 Clinton CT
Rocky Mount, NC 27804-2403

Mailing address

1717 Legion Rd
Suite 203
Chapel Hill, NC 27517-2396
Phone (919) 240-7280

Other identifiers 1

IdentifierTypeStateIssuer
1235340803MedicaidNC

Other names 1

  • MyOrthodontist Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2244267Larry J Moray, DDS, Ms, PA Dba Myorthodontist120 Clinton CT, Rocky Mount, NC 27804Certificate of waiverNov 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Larry J Moray DDS Ms PA15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

121 S Estes Dr
Ste 206
Chapel Hill, NC 27514
Phone (704) 689-1412

120 Clinton Ct
Rocky Mount, NC 27804
Phone (252) 451-1010

Practitioners & affiliated clinicians

Practitioners 1

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1235340803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 LEGION RD",
            "address_2": "SUITE 203",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172396",
            "telephone_number": "919-240-7280",
            "fax_number": "919-240-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CLINTON CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042403",
            "telephone_number": "524-511-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY J. MORAY, DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "MORAY",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-240-7280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235340803",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyOrthodontist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.