Moore Dentistry & Braces

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MOORE DENTISTRY & BRACES

Practice address

1530 SW 119TH St Unit 108
Oklahoma City, OK 73170-4938

Phone

(405) 735-5733

NPI assigned

Oct 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin James Bowman, DDS

Title

Dentist

Phone

(405) 326-8004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1285100339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9060 HARMONY DR STE E",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306253",
            "telephone_number": "405-594-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 SW 119TH ST UNIT 108",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704938",
            "telephone_number": "405-735-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE DENTISTRY & BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-326-8004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Mooney
• Richard J Mooney, MD
• Moonlight Anesthesia Consulting Inc
• Amal E Moorad, M.D.
• Moore Chiropractic PC
• Mary Kelly Moore Lackey, LPC
• Moore Restored, Inc
• Tamesha Burnnett Moore-Adams
• Abby Moore
• Adam Moore, DDS

• Dental Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.