Moore Care Providers

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28656 Issued in CA

Legal business name

MOORE CARE PROVIDERS

Practice address

8860 Corbin Ave
Ste 386
Northridge, CA 91324-3309

Phone

(818) 428-9257

NPI assigned

Sep 25, 2012

Organization subpart

No

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

Authorized official

Name

Girard G Brenneman

Title

Ceo

Phone

(818) 428-9257

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1669723136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CORBIN AVE",
            "address_2": "STE 386",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243309",
            "telephone_number": "818-428-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CORBIN AVE",
            "address_2": "STE 386",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243309",
            "telephone_number": "818-428-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "BRENNEMAN",
        "authorized_official_first_name": "GIRARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-428-9257"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Montoya
• Evelyn Moon
• Sung Jun Moon
• Vahe Mooradian, MD.
• Moore Care Providers
• Rachael Michele Moore
• Stephanie Isela Mora
• Tania Morales Zelaya, PHD
• Daphnee Gezelle Morales
• Erick Morales

• General Practice Dentistry in Northridge, CA
• Providers in Northridge, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.