Active NPI
James Baker Moore, DDS
- Dentist
- Grand Junction, CO
National Provider Identifier
1740301449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 104976
- Practice address
- 1301 N 7TH St
Ste a
Grand Junction, CO 81501 - Phone
- (970) 242-9404
- Fax
- (970) 243-2727
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 104976 | CO | Primary |
Addresses
Primary practice location
1301 N 7TH St
Ste a
Grand Junction, CO 81501
Mailing address
1301 N 7TH St
Ste a
Grand Junction, CO 81501
Phone (970) 242-9404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104976 | Other | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104976 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740301449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 N 7TH ST",
"address_2": "STE A",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81501",
"telephone_number": "970-242-9404",
"fax_number": "970-243-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N 7TH ST",
"address_2": "STE A",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81501",
"telephone_number": "970-242-9404",
"fax_number": "970-243-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JAMES",
"middle_name": "BAKER",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "104976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "104976",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.