Travis Moore, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

11218 Issued in NC

Practice address

2210 Wrightsville Ave Ste 5
Wilmington, NC 28403-2575

Phone

(910) 763-0355

NPI assigned

Aug 31, 2016

Last updated

Jul 16, 2019By the provider in NPPES

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Travis R. Moore, D.M.D., P.L.L.C.

  • Endodontics
  • Wilmington, NC
  • NPI 1093367435
  NPD Authorized official
• John P. Crisp, DDS, PLLC

  • Endodontics
  • Wilmington, NC
  • NPI 1598742553
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1689120438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 WRIGHTSVILLE AVE STE 5",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032575",
            "telephone_number": "910-763-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 WRIGHTSVILLE AVE STE 5",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032575",
            "telephone_number": "910-763-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "11218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard S. Moore Jr., MD
• Robert Alexander Moore III, M.D.
• Robert M. Moore, M.D.
• Shalane Beth Moore, NP-C
• Tammy Nicole Moore, M.D.
• Tyler Moore, PA
• Yolonda Shevon Moore, MS, LCMHCA
• Charles Warren Moorehead, LCSWA
• Tyler Moorhouse
• Kelly Moran

• Endodontics in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.