Individual provider Active NPI

Lawrence Joel Moray, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Roanoke Rapids, NC
National Provider Identifier
1518035567
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5934 Issued in NC
Practice address
1165 Gregory Dr Ste a
Roanoke Rapids, NC 27870-6442
Phone
(252) 544-5630
Fax
(252) 631-0291
NPI assigned
Nov 30, 2006
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 5934 NC Primary

Addresses

Primary practice location

1165 Gregory Dr Ste a
Roanoke Rapids, NC 27870-6442

Mailing address

5011 Southpark Dr Ste 220
Durham, NC 27713-7738
Phone (919) 240-7280

Other practice location 1

120 Clinton Ct
Rocky Mount, NC 27804-2403
Phone (252) 451-1010

Other practice location 2

1919 Bragg St Ste 7
Sanford, NC 27330-5869
Phone (919) 718-0335

Other practice location 3

616 Dr Calvin Jones Hwy Ste 200
Wake Forest, NC 27587-3100
Phone (919) 556-1422

Other practice location 4

7011 Fayetteville Rd Ste 201
Durham, NC 27713-7748
Phone (919) 493-8944

Other practice location 5

2403 Charles Blvd
Greenville, NC 27858-5925
Phone (800) 696-7846

Other practice location 6

845 Church St N
Concord, NC 28025-4300
Phone (704) 784-3611

Other practice location 7

150 Preston Executive Dr Ste 102
Cary, NC 27513-8485
Phone (919) 469-6683

Other practice location 8

303 S McNeil St
Burgaw, NC 28425-5015
Phone (910) 300-9590

Other practice location 9

2501 Atrium Dr Ste 301
Raleigh, NC 27607-6452
Phone (919) 782-9588

Other practice location 10

1002 N Church St Ste 400
Greensboro, NC 27401-1450
Phone (336) 545-0161

Other practice location 11

1401 N Bridge St
Washington, NC 27889-3536
Phone (800) 696-7846

Other practice location 12

933 Rockford St Ste 4
Mount Airy, NC 27030-5323
Phone (336) 789-4742

Other practice location 13

501 Eastowne Dr Ste 230
Chapel Hill, NC 27514-6224
Phone (919) 928-0105

Other identifiers 1

IdentifierTypeStateIssuer
1518035567MedicaidNC

Other names 1

  • Larry J Moray Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518001999 NC Order and Referring Only - DentistPractitioner - Dentist 4385933118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5934NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Larry J. Moray, DDS, Ms, PA General Practice PastSince Feb 14, 2021 Accepting new patients
Larry J Moray DDS, Ms, PA Orthodontics and Dentofacial Orthopedics PastSince Jun 1, 2020 Accepting new patients
Larry J. Moray, DDS, Ms, PA General Practice PastSince Sep 23, 2021 Accepting new patients
Larry J. Moray DDS, Ms, PA Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Larry J. Moray DDS, Ms, PA Orthodontics and Dentofacial Orthopedics PastSince Sep 1, 2021 Accepting new patients

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1518035567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 SOUTHPARK DR STE 220",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137738",
            "telephone_number": "919-240-7280",
            "fax_number": "919-240-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 GREGORY DR STE A",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278706442",
            "telephone_number": "252-544-5630",
            "fax_number": "252-631-0291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Clinton Ct",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278042403",
            "country_code": "US",
            "telephone_number": "252-451-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 Bragg St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273305869",
            "country_code": "US",
            "telephone_number": "919-718-0335",
            "fax_number": "919-718-0336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "616 Dr Calvin Jones Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275873100",
            "country_code": "US",
            "telephone_number": "919-556-1422",
            "fax_number": "195-562-4559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7011 Fayetteville Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277137748",
            "country_code": "US",
            "telephone_number": "919-493-8944",
            "fax_number": "919-490-1880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2403 Charles Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278585925",
            "country_code": "US",
            "telephone_number": "800-696-7846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 Church St N",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280254300",
            "country_code": "US",
            "telephone_number": "704-784-3611",
            "fax_number": "704-721-3224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Preston Executive Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275138485",
            "country_code": "US",
            "telephone_number": "919-469-6683",
            "fax_number": "919-469-6636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 S McNeil St",
            "address_purpose": "LOCATION",
            "city": "Burgaw",
            "state": "NC",
            "postal_code": "284255015",
            "country_code": "US",
            "telephone_number": "910-300-9590",
            "fax_number": "910-300-9591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Atrium Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076452",
            "country_code": "US",
            "telephone_number": "919-782-9588",
            "fax_number": "919-782-9651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 N Church St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011450",
            "country_code": "US",
            "telephone_number": "336-545-0161",
            "fax_number": "336-697-6440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 N Bridge St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "NC",
            "postal_code": "278893536",
            "country_code": "US",
            "telephone_number": "800-696-7846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "933 Rockford St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270305323",
            "country_code": "US",
            "telephone_number": "336-789-4742",
            "fax_number": "336-844-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Eastowne Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275146224",
            "country_code": "US",
            "telephone_number": "919-928-0105",
            "fax_number": "919-928-0630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAY",
        "first_name": "LAWRENCE",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "5934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518035567",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARRY",
            "last_name": "MORAY",
            "middle_name": "J",
            "credential": "DDS, MS, PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roanoke Rapids, NC

Sources for this page

Verify at the official NPI Registry.