Madison Moore, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401418519 Issued in VA

Practice address

4600 John Marr Dr Ste 401
Annandale, VA 22003-3310

Phone

(703) 750-9393

NPI assigned

Apr 7, 2023

Last updated

Aug 19, 2025By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ellis & Lindgren Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Annandale, VA
  • NPI 1902378557
  NPD (past)
• Ellis Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Annandale, VA
  • NPI 1588144125
  NPD (past)

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1356036198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 SHERMAN AVE NW UNIT 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013921",
            "telephone_number": "773-816-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 JOHN MARR DR STE 401",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033310",
            "telephone_number": "703-750-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MADISON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401418519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Hayward
• Julie A Montgomery, MA, NCC, LPC
• Judith Montville-White, LCSW
• Kyung Wook Moon, D.C.
• Jeneen Moore, M.S.CCC-SLP
• Adrian Mora
• Lindsay Christine Mora, MS, OTR/L
• Lorena Morris, RN
• Allan J. Morrison, M.D.
• Lisa Caruso Morton, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Annandale, VA
• Providers in Annandale, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.