Active NPI
James Chesnut Moore III, DMD
- Dentist
- Carthage, MS
National Provider Identifier
1407348782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3999-18
- Practice address
- 107 N Van Buren St
Carthage, MS 39051-4160 - Phone
- (601) 267-3722
- NPI assigned
- Jun 3, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3999-18 | MS | Primary |
Addresses
Primary practice location
107 N Van Buren St
Carthage, MS 39051-4160
Mailing address
107 N Van Buren St
Carthage, MS 39051-4160
Phone (601) 267-3722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3999-18 | MS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527984000000",
"number": "1407348782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 N VAN BUREN ST",
"city": "CARTHAGE",
"state": "MS",
"postal_code": "390514160",
"telephone_number": "601-267-3722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N VAN BUREN ST",
"city": "CARTHAGE",
"state": "MS",
"postal_code": "390514160",
"telephone_number": "601-267-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JAMES",
"middle_name": "CHESNUT",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-03",
"last_updated": "2018-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "3999-18",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carthage, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.