NPIMap

Organization Active NPI

Ryan a Moore DDS, PLLC

  • General Practice Dentistry
  • Little Rock, AR
National Provider Identifier
1417398256
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3843 Issued in AR
Legal business name
RYAN A MOORE DDS, PLLC
Practice address
8116 Cantrell Rd Ste C
Little Rock, AR 72227-2502
Phone
(501) 227-5200
NPI assigned
Jul 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Dr. Ryan Moore, D.D.S.
Title
Owner/President
Phone
(501) 351-0368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3843 AR Primary

Addresses

Primary practice location

8116 Cantrell Rd Ste C
Little Rock, AR 72227-2502

Mailing address

8116 Cantrell Rd Ste C
Little Rock, AR 72227-2502
Phone (501) 227-5200

Other identifiers 1

IdentifierTypeStateIssuer
188398608MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Ryan a Moore DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1417398256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 CANTRELL RD STE C",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272502",
            "telephone_number": "501-227-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 CANTRELL RD STE C",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272502",
            "telephone_number": "501-227-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN A MOORE DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "501-351-0368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188398608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.