Organization Active NPI

James D. Moore, DDS, Professional LLC

  • General Practice Dentistry
  • Durango, CO
National Provider Identifier
1295125797
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN 00010004 Issued in CO
Legal business name
JAMES D. MOORE, DDS, PROFESSIONAL LLC
Practice address
555 S Camino del Rio Ste A2
Durango, CO 81303-6851
Phone
(970) 259-2264
Fax
(970) 259-7073
NPI assigned
Feb 4, 2015
Last updated
Jul 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Dr. James Dean Moore, DDSNPI 1063643831
Title
Dentist/Owner
Phone
(970) 769-6564

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
General Practice Dentistry 1223G0001X DEN 00010004 CO Primary

Addresses

Primary practice location

555 S Camino del Rio Ste A2
Durango, CO 81303-6851

Mailing address

800 S Camino del Rio
Durango, CO 81301-6898
Phone (970) 259-2264

National Provider Directory

National Provider Directory

Locations

555 S Camino del Rio
Ste A2
Durango, CO 81303
Phone (970) 259-2264

800 S Camino del Rio
Durango, CO 81301
Phone (970) 259-2264

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1295125797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CAMINO DEL RIO",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016898",
            "telephone_number": "970-259-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S CAMINO DEL RIO STE A2",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036851",
            "telephone_number": "970-259-2264",
            "fax_number": "970-259-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D. MOORE, DDS, PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "970-769-6564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN 00010004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.