Organization Active NPI

Barrett G Moore DDS PA

  • Dentist
  • Charlotte, NC
National Provider Identifier
1558386557
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
107468 Issued in NC
Legal business name
BARRETT G MOORE DDS PA
Practice address
128 S Tryon St
Ste #860
Charlotte, NC 28202
Phone
(704) 342-3213
Fax
(704) 342-4470
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Barrett G Moore, DDSNPI 1801066287
Title
President
Phone
(704) 342-3213

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: 193400000X SINGLE SPECIALTY GROUP 122300000X 107468 NC Primary

Addresses

Primary practice location

128 S Tryon St
Ste #860
Charlotte, NC 28202

Mailing address

128 S Tryon St
Ste #860
Charlotte, NC 28202
Phone (704) 342-3213

National Provider Directory

National Provider Directory

Locations

128 S Tryon St
Ste 860
Charlotte, NC 28202
Phone (704) 342-3213

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1558386557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S TRYON ST",
            "address_2": "STE #860",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28202",
            "telephone_number": "704-342-3213",
            "fax_number": "704-342-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S TRYON ST",
            "address_2": "STE #860",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28202",
            "telephone_number": "704-342-3213",
            "fax_number": "704-342-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRETT G MOORE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BARRETT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-342-3213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "107468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.