DRS Moorhead& Ross DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

550 Issued in AK

Legal business name

DRS MOORHEAD& ROSS DDS

Practice address

215 Front St
Wrangell, AK 99929

Phone

(907) 874-3731

Fax

(907) 874-3531

NPI assigned

Dec 14, 2006

Last updated

Apr 20, 2008By 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

Mr. Walter L Moorhead, DDSNPI 1144409509

Title

Partner

Phone

(907) 874-3731

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Walter Lewis Moorhead III, D.D.S.

  • Dentist
  • Wrangell, AK
  • NPI 1144409509
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1659433738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1140",
            "city": "WRANGELL",
            "state": "AK",
            "postal_code": "99929",
            "telephone_number": "907-874-3731",
            "fax_number": "907-874-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FRONT ST",
            "city": "WRANGELL",
            "state": "AK",
            "postal_code": "99929",
            "telephone_number": "907-874-3731",
            "fax_number": "907-874-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MOORHEAD& ROSS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MOORHEAD",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "907-874-3731",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "550",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "570",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD0550 DD0570",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Leigh Debord, M.S., CCC-SLP
• John Deruyter, PSY. D
• Laura E Dooley, M.D.
• Hailey Doss
• Davis Dow
• Gregory John Duncan, M.D.
• Danielle Easterly
• Adelina Esco
• Alexandra Stone Freericks
• Karina Gail Gallant

• General Practice Dentistry in Wrangell, AK
• Providers in Wrangell, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.