Individual provider Active NPI

Cindy Casavant Moore, D.M.D.

  • General Practice Dentistry
  • Panama City, FL
National Provider Identifier
1396952735
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8383 Issued in FL
Practice address
2407 W 11TH St
Panama City, FL 32401-1634
Phone
(850) 215-1353
Fax
(850) 215-1363
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8383 FL Primary

Addresses

Primary practice location

2407 W 11TH St
Panama City, FL 32401-1634

Mailing address

1107 Clay Ave
Panama City, FL 32401-1672
Phone (850) 527-6329

Other names 1

  • Dr. Cindy Moore Hendley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190308002161 FL Order and Referring Only - DentistPractitioner - Dentist 8224377296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8383FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1396952735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 CLAY AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011672",
            "telephone_number": "850-527-6329",
            "fax_number": "850-215-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 W 11TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011634",
            "telephone_number": "850-215-1353",
            "fax_number": "850-215-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CINDY",
        "middle_name": "CASAVANT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "8383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "HENDLEY",
            "middle_name": "MOORE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.