Kelley Newman Moore, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN15054 Issued in FL

Practice address

1 Orange Ave
Rockledge, FL 32955-2945

Phone

(321) 632-2020

NPI assigned

Aug 22, 2007

Last updated

Aug 22, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1598958647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ORANGE AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552945",
            "telephone_number": "321-632-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ORANGE AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552945",
            "telephone_number": "321-632-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KELLEY",
        "middle_name": "NEWMAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monarch Educational and Psychological Services
• Carlos I. Montes Jr., DPM, MS
• Katherine Montes, RN
• Zahykira Montgomery
• John D Moore Sr., R.PH.
• Georgiana Moorhead, ARNP
• Emily Morales
• Joshua Morales
• Maria Luz Velasco Morales, PHYSICAL THERAPIST
• Beth S Morlang, RD, LDN

• Dentist in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.