Shorn D McMoore, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411831 Issued in VA

Practice address

277 Hydraulic Ridge Rd Ste 205
Charlottesville, VA 22901-8127

Phone

(434) 465-2153

Fax

(434) 956-4141

NPI assigned

Jul 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Matthew Walker Comprehensive Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Nashville, TN
  • NPI 1356405278
  Medicare reassignment NPD
• Family Dental of Virginia, LLC

  • General Practice Dentistry
  • Richmond, VA
  • NPI 1124392451
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1720286362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BEECHAM DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271302",
            "telephone_number": "804-918-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HYDRAULIC RIDGE RD STE 205",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018127",
            "telephone_number": "434-465-2153",
            "fax_number": "434-956-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3904 Hull Street Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232241714",
            "country_code": "US",
            "telephone_number": "804-233-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMOORE",
        "first_name": "SHORN",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411831",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Gentil McMahon, NP
• Melissa Jean McMahon, PHARMD
• Kathleen A. McManus, M.D.
• Lindsay Gray Zano McMillan, M.ED
• Meaghan McMillen, ATC
• Matthew W McMullen, DO
• Carolyn McMullin, FNP
• Marianna N McMurray, PT
• Gabriel McNabb
• Michelle Wagner McNally

• General Practice Dentistry in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.