Thomas H. Moore DDS LTD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THOMAS H. MOORE DDS LTD

Practice address

6075 Vantage PL
Rockford, IL 61107-5905

Phone

(815) 399-0677

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Thomas Moore, D.D.S.

Title

President

Phone

(815) 399-0677

Specialties & licenses 1

Addresses

Tax ID family

Thomas H Moore DDS LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Thomas H. Moore D.D.S. LTD

  • General Practice Dentistry
  • Rockford, IL
  • NPI 1558814897
  NPD tax ID

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639202914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4298 WINDSWEPT WAY",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611118654",
            "telephone_number": "815-636-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 VANTAGE PL",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075905",
            "telephone_number": "815-399-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H. MOORE DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-399-0677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Thoman, O.D.
• Thomas a Runne DPM LTD
• Thomas B. Dudgeon, PH.D., PC
• Anita Ann Thomas Bua, LCPC,LPC
• Thomas H. Moore D.D.S. LTD
• Adris Thomas, LCSW
• Alexander Thomas
• Christine R Thomas
• Daniel Thomas
• Erin B Thomas, DPT

• Dental Clinic/Center in Rockford, IL
• Providers in Rockford, IL by specialty
• Dental Clinic/Center in Illinois

• 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.