Organization Active NPI

David H. Moore, DDS,Ms,PA

  • Pediatric Dentistry
  • Charlotte, NC
National Provider Identifier
1417977950
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5518 Issued in NC
Legal business name
DAVID H. MOORE, DDS,MS,PA
Practice address
411 Billingsley Rd
Suite 106
Charlotte, NC 28211-1046
Phone
(704) 377-3694
Fax
(704) 377-9790
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Holland Moore, DDS, MS, PA
Title
Owner
Phone
(704) 377-3694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 5518 NC Primary

Addresses

Primary practice location

411 Billingsley Rd
Suite 106
Charlotte, NC 28211-1046

Mailing address

411 Billingsley Rd
Suite 106
Charlotte, NC 28211-1046
Phone (704) 377-3694

National Provider Directory

National Provider Directory
Tax ID family
David H Moore DDS Ms PA2 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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417977950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BILLINGSLEY RD",
            "address_2": "SUITE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111046",
            "telephone_number": "704-377-3694",
            "fax_number": "704-377-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BILLINGSLEY RD",
            "address_2": "SUITE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111046",
            "telephone_number": "704-377-3694",
            "fax_number": "704-377-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H. MOORE, DDS,MS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HOLLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-377-3694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, PA"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "5518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.