Carolyn Moore

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1381 Issued in MI

Practice address

1769 Inkster
Garden City, MI 48135-2499

Phone

(734) 421-4150

Fax

(734) 421-2385

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carolyn Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Waely Dental PLLC

  dba Michigan Smiles Family Dental

  • Dentist
  • Garden City, MI
  • NPI 1992312680
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659445450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18569 CLAIRMONT CIRCLE EAST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "48168",
            "telephone_number": "734-421-4150",
            "fax_number": "734-421-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 INKSTER",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352499",
            "telephone_number": "734-421-4150",
            "fax_number": "734-421-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "1381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "MOORE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bianca-Ioana Moise, MD
• Joseph Molfetto, DC
• Money Minders Plus, LLC
• Monroe Smiles PLLC, (Magnolia Dental)
• Damia Monroe
• Jose Antonio Mora-San Antonio
• Cynthia Morin, P.A.
• Geralyn Marie Morris, MACCCA
• Moss Foot Clinic PLLC
• David M Moss, D.P.M.

• General Practice Dentistry in Garden City, MI
• Providers in Garden City, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.