Individual provider Active NPI

Don S Moore, D.D.S.

  • General Practice Dentistry
  • Federal Way, WA
National Provider Identifier
1467416859
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8678 Issued in WA
Practice address
1646 SW Dash Point Rd
Federal Way, WA 98023-4566
Phone
(253) 815-9560
Fax
(253) 815-9580
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8678 WA Primary

Addresses

Primary practice location

1646 SW Dash Point Rd
Federal Way, WA 98023-4566

Mailing address

1646 SW Dash Point Rd
Federal Way, WA 98023-4566
Phone (253) 815-9560

Other identifiers 1

IdentifierTypeStateIssuer
1386104OtherWAUNITED CONCORDIA ID NUMBE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8678WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dashpoint Family Dental Inc. Current Accepting new patients

Locations

1646 SW Dash Point Rd
Ste B
Federal Way, WA 98023
Phone (253) 815-9560

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1467416859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 SW DASH POINT RD",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980234566",
            "telephone_number": "253-815-9560",
            "fax_number": "253-815-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 SW DASH POINT RD",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980234566",
            "telephone_number": "253-815-9560",
            "fax_number": "253-815-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID NUMBE",
            "identifier": "1386104",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.