Emily Jean Moore, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

9960 Issued in SC

Practice address

128 Herlong Ave S Ste 120
Rock Hill, SC 29732-1156

Phone

(803) 825-4815

NPI assigned

May 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rock Hill Modern Dentistry, PC

  • Dentist
  • Rock Hill, SC
  • NPI 1366087371
  NPD

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

{
    "created_epoch": "1622246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1629644737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PROMENADE VISTA ST APT 1104",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294125106",
            "telephone_number": "803-235-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 HERLONG AVE S STE 120",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321156",
            "telephone_number": "803-825-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EMILY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-29",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Mooney
• Aisha Moore, DDS
• Allen Dee Moore III, LPCA
• Amber Moore, RBT
• Ann Moore, LDO
• Kellie Moore
• Kylah Moore
• Bradley Moorer, RBT
• Logan Morales, RN
• Johnathan David Moran, DC

• 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 Jun 23, 2021; 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.