Bartley Reed Moore, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3406 Issued in WV

Practice address

1225 W Main St
Grafton, WV 26354-1048

Phone

(304) 265-1800

Fax

(304) 265-3468

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1740297068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 N PIKE ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263542629",
            "telephone_number": "304-265-1800",
            "fax_number": "304-265-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W MAIN ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541048",
            "telephone_number": "304-265-1800",
            "fax_number": "304-265-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BARTLEY",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4003007000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah C Miller
• Jennifer Lynn Miller
• Lori Lynn Miller, MS
• Junior Minard
• Della Sue Moats
• Douglas Leroy Moore Jr.
• Catherine P Morehead, PA
• Ashley Nicole Morgan
• Nanci J Morgan, MS PAC
• Misty Dawn Morris

• General Practice Dentistry in Grafton, WV
• Providers in Grafton, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.