John W. Moore DDS, SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHN W. MOORE DDS, SC

Practice address

1630 Losey Blvd S
La Crosse, WI 54601-6104

Phone

(608) 782-7374

Fax

(608) 782-4111

NPI assigned

Jun 23, 2022

Organization subpart

No

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

Authorized official

Name

Grace Esther Storlie

Title

Manager

Phone

(608) 782-7374

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1700517349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 LOSEY BLVD S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016104",
            "telephone_number": "608-782-7374",
            "fax_number": "608-782-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 LOSEY BLVD S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016104",
            "telephone_number": "608-782-7374",
            "fax_number": "608-782-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. MOORE DDS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "STORLIE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "608-782-7374"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara J Jochman, CRNA
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• Gopi Kiran Johanningmeier, C-AA
• John H Betz DDS SC
• John Shea D.D.S. LLC
• Johnson Chiropractic, Inc
• Johnson Counseling and Consulting
• Barbara Jean Johnson-Hamamoto, RN
• Leanne J Johnson-Meeter, PA
• Pamela J Johnson-Stuhr, PT

• General Practice Dentistry in La Crosse, WI
• Providers in La Crosse, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.