Moore Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MOORE FAMILY DENTAL LLC

Practice address

3001 S Telephone Rd
Moore, OK 73160-2942

Phone

(405) 206-8090

NPI assigned

Aug 14, 2023

Last updated

Aug 14, 2023By 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. Loren P Israelsen

Title

Owner

Phone

(361) 405-9080

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1568145795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SE 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731356017",
            "telephone_number": "405-206-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S TELEPHONE RD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602942",
            "telephone_number": "405-206-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "ISRAELSEN",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-405-9080",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Care LLC (Greystone Medical)
• Moore Chiropractic
• Moore Counseling Center, P.C.
• Moore Emergency Physicians, LLC
• Moore Family Care & Wellness LLC
• Moore Family Medicine Associates Aprn-CNP, PC
• Moore Family Therapy
• Moore Med CNTR Clinic Phcy
• Moore Medical Center
• Moore Medical Center, LLC (Moore Medical Center)

• Dental Clinic/Center in Moore, OK
• Providers in Moore, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.