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

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 and National Provider Directory roles.

• Waely Dental PLLC

  • 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"
        }
    ]
}

• Mohan Neurosurgical PC
• Bianca-Ioana Moise, MD
• Joseph Molfetto, DC
• Money Minders Plus, LLC
• Monroe Smiles PLLC,
• 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.