Thomas H. Moore D.D.S. LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.030757 Issued in IL

Legal business name

THOMAS H. MOORE D.D.S. LTD

Practice address

6075 Vantage PL
Rockford, IL 61107-5905

Phone

(815) 399-0677

Fax

(815) 986-1352

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Moore, D.M.D.NPI 1588798813

Title

Dentist

Phone

(815) 399-0677

Specialties & licenses 1

Addresses

Tax ID family

Thomas H Moore DDS LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Thomas H. Moore DDS LTD

  • Dental Clinic/Center
  • Rockford, IL
  • NPI 1639202914
  NPD tax ID

Practitioners 1

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.

• Ryan Thomas Moore, DMD

  • General Practice Dentistry
  • Rockford, IL
  • NPI 1588798813
  Authorized official Same address or phone

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1558814897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 VANTAGE PL",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075905",
            "telephone_number": "815-399-0677",
            "fax_number": "815-986-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 VANTAGE PL",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075905",
            "telephone_number": "815-399-0677",
            "fax_number": "815-986-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H. MOORE D.D.S. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "815-399-0677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.030757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David T Thom, DPM
• Sylvia Thoman, O.D.
• Thomas a Runne DPM LTD
• Thomas B. Dudgeon, PH.D., PC
• Anita Ann Thomas Bua, LCPC,LPC
• Thomas H. Moore DDS LTD
• Adris Thomas, LCSW
• Alexander Thomas
• Christine R Thomas
• Daniel Thomas

• General Practice Dentistry in Rockford, IL
• Providers in Rockford, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.