NPIMap

Organization Active NPI

Larry J. Moray DDS, Ms, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greensboro, NC
National Provider Identifier
1306384474
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5984 Issued in NC
Legal business name
LARRY J. MORAY DDS, MS, PA
Practice address
1002 N Church St Ste 400
Greensboro, NC 27401-1450
Phone
(336) 545-0161
Fax
(336) 697-6440
NPI assigned
Feb 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Lawrence Joel Moray, DDS, MS, PA
Title
Owner
Phone
(919) 928-5852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 5984 NC Primary

Addresses

Primary practice location

1002 N Church St Ste 400
Greensboro, NC 27401-1450

Mailing address

5011 Southpark Dr Ste 220
Durham, NC 27713-7738
Phone (919) 240-7280

Other identifiers 1

IdentifierTypeStateIssuer
1306384474MedicaidNC

Other names 1

  • MyOrthodontist Doing business as

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

1002 N Church St
Ste 400
Greensboro, NC 27401
Phone (336) 378-1074

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": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1306384474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 SOUTHPARK DR STE 220",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137738",
            "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": "1002 N CHURCH ST STE 400",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011450",
            "telephone_number": "336-545-0161",
            "fax_number": "336-697-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY J. MORAY DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "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": "919-928-5852",
        "authorized_official_credential": "DDS, MS, PA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "5984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306384474",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyOrthodontist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.