Aisha Moore, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4665 Issued in SC

Practice address

636 Crown Pointe Lane
Suite 105
Rock Hill, SC 29730-4993

Phone

(803) 329-4746

Fax

(803) 329-4748

NPI assigned

Nov 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Aisha O Moore DDS PC

  • General Practice Dentistry
  • Rock Hill, SC
  • NPI 1841504115
  NPD (past) Authorized official

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1598091167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 CROWN POINTE DR",
            "address_2": "SUITE 105",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304993",
            "telephone_number": "803-329-4746",
            "fax_number": "803-329-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CROWN POINTE LANE",
            "address_2": "SUITE 105",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304993",
            "telephone_number": "803-329-4746",
            "fax_number": "803-329-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AISHA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13812",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1000593",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Revels Counseling LLC
• Kacie Bragg Montgomery, OTR
• Kimberly Hagwood Mood, OTR/L
• Carmen Moody
• Victor Mooney
• Allen Dee Moore III, LPCA
• Amber Moore, RBT
• Ann Moore, LDO
• Emily Jean Moore, DMD
• Kellie Moore

• Dentist in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.