NPIMap

Organization Active NPI

Larry J. Moray DDS, Ms, PA

Doing business as MyOrthodontist

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Raleigh, NC
National Provider Identifier
1366560443
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
2501 Atrium Dr Ste 301
Raleigh, NC 27607-6452
Phone
(919) 782-9588
Fax
(919) 782-9651
NPI assigned
Mar 27, 2007
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
Dr. Larry J Moray, DDS, MS, PA
Title
President
Phone
(919) 240-7280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 5934 NC
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2501 Atrium Dr Ste 301
Raleigh, NC 27607-6452

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1366560443MedicaidNC

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
34D2244258Larry J Moray, DDS, Ms, PA Dba Myorthodontist2501 Atrium Dr Suite 301, Raleigh, NC 27607Certificate 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

501 Eastowne Dr
Ste 230
Chapel Hill, NC 27514
Phone (919) 928-0105

7011 Fayetteville Rd
Ste 201
Durham, NC 27713
Phone (919) 493-8944

Practitioners & affiliated clinicians

Practitioners 2

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1366560443",
    "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": "2501 ATRIUM DR STE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076452",
            "telephone_number": "919-782-9588",
            "fax_number": "919-782-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY J. MORAY DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "MORAY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-240-7280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, PA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "5934",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366560443",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyOrthodontist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, 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.