Jason Michael Moore, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16030 Issued in FL

Practice address

8963 Race Track Rd
Tampa, FL 33635-9724

Phone

(813) 818-8054

Fax

(813) 818-9683

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tampa Bay Smiles, Inc.

  • Dentist
  • Land O' Lakes, FL
  • NPI 1609567056
  NPD Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518987254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19320 SEACOVE DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335589745",
            "telephone_number": "813-949-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8963 RACE TRACK RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359724",
            "telephone_number": "813-818-8054",
            "fax_number": "813-818-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garry Moore
• Glenn Moore, LMT
• Holly Ann Moore
• Janel Nicole Moore, APRN
• Jared Dylan Moore, FNP-BC
• Jay Winston Moore, PH.D., FACMG
• Jerrica Chambers Moore, PA-C
• Joanne Marie Moore
• Jonette Rae Moore, ARNP
• Joyce Marie Moore, APRN, FNP-C

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, 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 Jul 8, 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.