Tracye A. Moore, RDH, BS, MS

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH008983L Issued in PA

Practice address

Naval Health Clinic Joint Reserve Base
Dental Department BLDG 137
Willow Grove, PA 19090

Phone

(215) 443-6380

Fax

(215) 443-6378

NPI assigned

Aug 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor of Science, Master of Science

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376657825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E PHIL ELLENA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191941",
            "telephone_number": "215-438-6199",
            "fax_number": "215-443-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HEALTH CLINIC JOINT RESERVE BASE",
            "address_2": "DENTAL DEPARTMENT BLDG 137",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "19090",
            "telephone_number": "215-443-6380",
            "fax_number": "215-443-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TRACYE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "RDH, BS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH008983L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery County Advanced Medical Imaging, LLC
• Audrey Moody, LSW
• Carol Therese Moore
• Jennifer Moore, PSYD
• Rowan Gillian Moore, LCSW
• Aidan Moroz
• Ashley Lynae Moyer, DNP, CRNP
• Lucinda M. Moyer, PA-C
• Randi Lynn Murat
• Joseph James Murphy III, MD

• Dental Hygienist in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Dental Hygienist in Pennsylvania

• 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.