Alfred Jose Mora, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0011851 Issued in FL

Practice address

221 S 6TH St
Fort Pierce, FL 34950-4223

Phone

(772) 464-2300

Fax

(772) 464-2322

NPI assigned

Apr 11, 2007

Last updated

Oct 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Alfred J. Mora Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1447473897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3629",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349483629",
            "telephone_number": "772-464-2300",
            "fax_number": "772-464-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504223",
            "telephone_number": "772-464-2300",
            "fax_number": "772-464-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "ALFRED",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0011851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALFRED",
            "last_name": "MORA",
            "middle_name": "J.",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Keri Moore, OTR/L
• Lataiya Moore
• Robin Michelle Moore, MD
• Connie Marie Moorer, B.A.
• Alyssa J Moquin, B.A.
• Aylin Alejandra Morales
• Karen Lisette Morales, MS
• Heather J Morella, RN
• Bettyna Morency, MD
• Frantz Morency, MS

• General Practice Dentistry in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.