Active NPI
Ronald Moore, DDS
- General Practice Dentistry
- Loma Linda, CA
National Provider Identifier
1417098674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38096
- Practice address
- 25835 Barton Rd Ste 104
Loma Linda, CA 92354 - Phone
- (909) 796-2299
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38096 | CA | Primary |
Addresses
Primary practice location
25835 Barton Rd Ste 104
Loma Linda, CA 92354
Mailing address
25835 Barton Rd Ste 104
Loma Linda, CA 92354-3898
Phone (909) 796-2299
Other practice location 1
3487 Central Ave
Riverside, CA 92506-2115
Phone (951) 369-1001
Other practice location 2
25835 Barton Rd Ste 104
Loma Linda, CA 92354-3898
Phone (909) 796-2299
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald L Moore DDS Inc | General Practice | Current | Accepting new patients |
Locations
25835 Barton Rd
Ste 104
Loma Linda, CA 92354
Phone (909) 796-2299
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Loma Linda, CA
- NPI 1891348074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1417098674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25835 BARTON RD STE 104",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543898",
"telephone_number": "909-796-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25835 BARTON RD STE 104",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354",
"telephone_number": "909-796-2299"
}
],
"practiceLocations": [
{
"address_1": "3487 Central Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925062115",
"country_code": "US",
"telephone_number": "951-369-1001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25835 Barton Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923543898",
"country_code": "US",
"telephone_number": "909-796-2299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "RONALD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "38096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.