Jessica Moore, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401414088 Issued in VA

Practice address

1470 Pantops Mountain PL
Charlottesville, VA 22911-4600

Phone

(434) 817-1817

NPI assigned

Jun 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371945600000",
    "number": "1295174282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 PANTOPS MOUNTAIN PL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114600",
            "telephone_number": "434-817-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 PANTOPS MOUNTAIN PL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114600",
            "telephone_number": "434-817-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-23",
        "last_updated": "2013-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Moore
• Christopher Moore, M.D.
• Christopher M. Moore, M.D.
• Denee J Moore, M.D.
• Elethia M Moore, PMHNP
• Karen Barbara Moore, MHS. PT
• Madyson Taylor Moore
• Marina Moore
• Marta J Moore, AC -PNP
• Richard Eugene Moore Jr., MPT, ATC

• Dentist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2013; 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.