NPIMap

Organization Active NPI

E.L. Moore DDS PA

  • Dental Clinic/Center
  • Tampa, FL
National Provider Identifier
1598199564
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN0010803 Issued in FL
Legal business name
E.L. MOORE DDS PA
Practice address
6702 N Armenia Ave
Tampa, FL 33604-5716
Phone
(813) 932-0458
NPI assigned
Aug 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Dr. Edith L Moore
Title
Dentist
Phone
(813) 932-0458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN0010803 FL Primary

Addresses

Primary practice location

6702 N Armenia Ave
Tampa, FL 33604-5716

Mailing address

6702 N Armenia Ave
Tampa, FL 33604-5716

National Provider Directory

National Provider Directory

Locations

6702 N Armenia Ave
Tampa, FL 33604
Phone (813) 932-0458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1598199564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045716",
            "telephone_number": "813-932-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.L. MOORE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-932-0458",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN0010803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.