Gregory Todd Moore, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5861 Issued in NC

Practice address

726 State Farm Rd Ste a
Boone, NC 28607-4945

Phone

(828) 264-6302

Fax

(828) 262-6301

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366512907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 STATE FARM RD STE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074945",
            "telephone_number": "828-264-6302",
            "fax_number": "828-262-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 STATE FARM RD STE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074945",
            "telephone_number": "828-264-6302",
            "fax_number": "828-262-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GREGORY",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8996068",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Yoder Montgomery, PA-C
• A. Burton Moomaw
• Daniel Andrew Moore
• Emily Moore, DO
• Emily Styers Moore, PA-C
• Hannah Moore, M.S. ED., CCC-SLP
• Jaclyn Moore
• Paul Moore
• Charles R Morehouse, AUD
• Joseph Morgan

• General Practice Dentistry in Boone, NC
• Providers in Boone, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.