NPIMap

Organization Active NPI

Dwayne a. Moore, DDS, PC

Doing business as Woodmen Views Dentistry

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1417230491
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9333 Issued in CO
Legal business name
DWAYNE A. MOORE, DDS, PC
Doing business as
Woodmen Views Dentistry
Practice address
3210 E Woodmen Rd
#200
Colorado Springs, CO 80920-3588
Phone
(719) 358-6998
Fax
(719) 358-6952
NPI assigned
Sep 26, 2011
Last updated
Jan 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Dr. Dwayne A Moore, DDSNPI 1336331230
Title
President
Phone
(202) 494-5194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 9333 CO Primary

Addresses

Primary practice location

3210 E Woodmen Rd
#200
Colorado Springs, CO 80920-3588

Mailing address

3210 E Woodmen Rd
#200
Colorado Springs, CO 80920-3588
Phone (719) 358-6998

Other names 1

  • Woodmen Views Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1417230491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 E WOODMEN RD",
            "address_2": "#200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203588",
            "telephone_number": "719-358-6998",
            "fax_number": "719-358-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 E WOODMEN RD",
            "address_2": "#200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203588",
            "telephone_number": "719-358-6998",
            "fax_number": "719-358-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWAYNE A. MOORE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-494-5194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodmen Views Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.