Adam Moore, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7154 Issued in OK

Practice address

1705 Mark Wood St
Oklahoma City, OK 73130-8455

Phone

(281) 689-5266

Fax

(883) 798-5508

NPI assigned

Jul 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Piper Dental Holdings LLC

  dba Mannford Family Dentistry

  • Dental Clinic/Center
  • Mannford, OK
  • NPI 1114518941
  NPD Authorized official
• Southeast Texas Childrens Dentistry PLLC

  • Pediatric Dentistry
  • New Caney, TX
  • NPI 1013202597
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1669671558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 GAULT RD",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786062598",
            "telephone_number": "832-799-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 MARK WOOD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731308455",
            "telephone_number": "281-689-5266",
            "fax_number": "883-798-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ADAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Dentistry & Braces
• Mary Kelly Moore Lackey, LPC
• Moore Restored, Inc
• Tamesha Burnnett Moore-Adams
• Abby Moore
• Alexis Nicole Moore
• Allison K Moore, D.O.
• Alyxandra Michelle Moore, DNP
• Amanda Nicole Moore, R.D.H.
• Amy Moore

• General Practice Dentistry in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.