NPIMap

Organization Active NPI

Larry J. Moray DDS, Ms, PA

Doing business as MyOrthodontist

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wake Forest, NC
National Provider Identifier
1699893792
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
LARRY J. MORAY DDS, MS, PA
Doing business as
MyOrthodontist
Practice address
616 Dr Calvin Jones Hwy Ste 200
Wake Forest, NC 27587-3106
Phone
(919) 556-1422
Fax
(919) 556-2455
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Lawrence Joel Moray, DDS, MS
Title
Owner
Phone
(919) 240-7280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 5934 NC
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

616 Dr Calvin Jones Hwy Ste 200
Wake Forest, NC 27587-3106

Mailing address

5011 Southpark Dr Ste 220
Durham, NC 27713-7738
Phone (919) 240-7280

Other identifiers 1

IdentifierTypeStateIssuer
1699893792MedicaidNC

Other names 1

  • MyOrthodontist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Larry J Moray DDS Ms PA15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

1717 Legion Rd
Ste 203
Chapel Hill, NC 27517
Phone (919) 240-7280

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1699893792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 SOUTHPARK DR STE 220",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137738",
            "telephone_number": "919-240-7280",
            "fax_number": "919-240-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 DR CALVIN JONES HWY STE 200",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873106",
            "telephone_number": "919-556-1422",
            "fax_number": "919-556-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY J. MORAY DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "MORAY",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-240-7280",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "5934",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699893792",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyOrthodontist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.