DRS. Moore and Moore Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2902 Issued in WV

Legal business name

DRS. MOORE AND MOORE DENTAL ASSOCIATES

Practice address

420 Virginia St W
Charleston, WV 25302-2008

Phone

(304) 343-7121

Fax

(304) 343-3323

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By 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. John T Moore, D.D.S.NPI 1841413549

Title

General Dentist

Phone

(304) 343-7121

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• John Thomas Moore, D.D.S.

  • General Practice Dentistry
  • Charleston, WV
  • NPI 1841413549
  NPD (past) Authorized official
• Jeffrey Parker Moore, D.D.S.

  • General Practice Dentistry
  • Charleston, WV
  • NPI 1548487705
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609973825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 VIRGINIA ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022008",
            "telephone_number": "304-343-7121",
            "fax_number": "304-343-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 VIRGINIA ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022008",
            "telephone_number": "304-343-7121",
            "fax_number": "304-343-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. MOORE AND MOORE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "304-343-7121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2921",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133320000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133287000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ezra Drumheller
• Debra Drust
• Cameron Duba, DO
• Marie Dudley

• General Practice Dentistry in Charleston, WV
• Providers in Charleston, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.