Organization Active NPI

William J. Moore DMD and Associates

  • Dentist
  • Red Bluff, CA
National Provider Identifier
1679779334
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
035951 Issued in CA
Legal business name
WILLIAM J. MOORE DMD AND ASSOCIATES
Doing business as
Moore and Pascarella
Practice address
1010 Jefferson St
Red Bluff, CA 96080-2726
Phone
(530) 527-7800
Fax
(530) 527-6178
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Dr. William J Moore, DMD
Title
Owner
Phone
(530) 527-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 035951 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 057349 CA

Addresses

Primary practice location

1010 Jefferson St
Red Bluff, CA 96080-2726

Mailing address

1010 Jefferson St
Red Bluff, CA 96080-2726
Phone (530) 527-7800

Other names 1

  • Moore and Pascarella Doing business as

National Provider Directory

National Provider Directory

Locations

1010 Jefferson St
Red Bluff, CA 96080
Phone (530) 527-7800

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1679779334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 JEFFERSON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802726",
            "telephone_number": "530-527-7800",
            "fax_number": "530-527-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JEFFERSON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802726",
            "telephone_number": "530-527-7800",
            "fax_number": "530-527-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. MOORE DMD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-527-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "035951",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "057349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore and Pascarella",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.