David E Moore, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60381727 Issued in WA

Practice address

719 N 39TH Ave Ste 102
Yakima, WA 98902-6302

Phone

(509) 457-4532

Fax

(509) 457-0175

NPI assigned

Jul 25, 2013

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.

• David E Moore DDS, PS

  • Dentist
  • Yakima, WA
  • NPI 1083079164
  NPD (past)
• Tomas E. Holbrook DDS PS

  • Dental Clinic/Center
  • Yakima, WA
  • NPI 1083720700
  NPD (past)

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1679915060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N 39TH AVE STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026302",
            "telephone_number": "509-457-4532",
            "fax_number": "509-457-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N 39TH AVE STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026302",
            "telephone_number": "509-457-4532",
            "fax_number": "509-457-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-25",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60381727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Moon, P.T.
• David Andrew Moon, OD
• Jill Moon, DPT
• Andrea Moore
• Christopher D Moore, MSW
• Kathlene Moore
• Lindsey Moore, ARNP
• Richard Walker Moore, MACE
• Seana M Moore, ARNP
• Shakila Moore, APRN, PMHNP-BC

• Dentist in Yakima, WA
• Providers in Yakima, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.