NPIMap

Organization Active NPI

Larry J. Moray, DDS, Ms, PA

Doing business as MyOrthodontist

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sanford, NC
National Provider Identifier
1356468938
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
LARRY J. MORAY, DDS, MS, PA
Doing business as
MyOrthodontist
Practice address
1919 Bragg St Ste 7
Sanford, NC 27330-5869
Phone
(919) 718-0335
Fax
(919) 718-0336
NPI assigned
Mar 26, 2007
Last updated
Jun 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Lawrence Joel Moray, DDS, MSNPI 1518035567
Title
Owner
Phone
(919) 240-7280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

1919 Bragg St Ste 7
Sanford, NC 27330-5869

Mailing address

1717 Legion Rd
Suite 203
Chapel Hill, NC 27517-2396
Phone (919) 240-7280

Other identifiers 1

IdentifierTypeStateIssuer
1356468938MedicaidNC

Other names 1

  • MyOrthodontist Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2244270Larry J Moray, DDS, Ms, PA Dba Myorthodontist1919 Bragg St Suite 7, Sanford, NC 27330Certificate of waiverNov 29, 2027

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

303 S McNeil St
Burgaw, NC 28425
Phone (910) 259-2548

Practitioners & affiliated clinicians

Practitioners 3

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1356468938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 LEGION RD",
            "address_2": "SUITE 203",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172396",
            "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": "1919 BRAGG ST STE 7",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305869",
            "telephone_number": "919-718-0335",
            "fax_number": "919-718-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY J. MORAY, DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "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": "919-240-7280",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356468938",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyOrthodontist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.