Village Periodontics & Implant Dent

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

16373 Issued in TX

Legal business name

VILLAGE PERIODONTICS & IMPLANT DENT

Practice address

2820 Village Pkwy Ste 630
Highland Village, TX 75077-3299

Phone

(972) 966-2500

Fax

(972) 471-9833

NPI assigned

Apr 23, 2018

Last updated

Apr 23, 2018By 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

Jane C Moore

Title

Office Manager

Phone

(972) 966-2500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• E. Drew Moore, DDS, MS

  • Periodontics
  • Highland VLG, TX
  • NPI 1336261551
  NPD (past)

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1649768979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 VILLAGE PKWY STE 630",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773299",
            "telephone_number": "972-966-2500",
            "fax_number": "972-471-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 VILLAGE PKWY STE 630",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773299",
            "telephone_number": "972-966-2500",
            "fax_number": "972-471-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PERIODONTICS & IMPLANT DENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-966-2500"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "16373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Van Belois, LPC
• Alexander Benton Vanderzant, PA-C
• Megan Vanscoyoc, PHARMD
• Sarah Vestal
• Village Chiropractic Center
• Village Vision Center, PLLC
• Vision First Inc
• Visionworks, Inc. (Visionworks)
• Wades' Solutions for Living Inc (Home Helpers)
• Mark Vincent Wagner, DMD

• Periodontics in Highland Village, TX
• Providers in Highland Village, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.