NPIMap

Organization Active NPI

Dr Tanisha R Moore DDS, Inc Dba Hometown DDS

  • Dentist
  • Springfield, OH
National Provider Identifier
1467983205
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-023622 Issued in OH
Legal business name
DR TANISHA R MOORE DDS, INC DBA HOMETOWN DDS
Practice address
221 E Home Rd
Springfield, OH 45503-2666
Phone
(937) 399-4470
NPI assigned
Mar 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Dr. Tanisha Moore, DDSNPI 1578608238
Title
President
Phone
(937) 399-4470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 30-023622 OH Primary

Addresses

Primary practice location

221 E Home Rd
Springfield, OH 45503-2666

Mailing address

221 E Home Rd
Springfield, OH 45503-2666
Phone (937) 399-4470

Other names 1

  • Hometown DDS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1467983205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032666",
            "telephone_number": "937-399-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032666",
            "telephone_number": "937-399-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TANISHA R MOORE DDS, INC DBA HOMETOWN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-399-4470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-023622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.