David Bruce Moore, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS26080L Issued in PA

Practice address

410 Woodlawn Ave
Bethlehem, PA 18018-2929

Phone

(610) 868-4952

NPI assigned

Jun 30, 2008

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

Medicare fee-for-service enrollment

Enrolled in PA

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

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.

• Indian Health Service Lockport IHS Health Center

  • Public Health or Welfare Agency
  • Lockport, NY
  • NPI 1477959120
  NPD

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1770745853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 WOODLAWN AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182929",
            "telephone_number": "610-868-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 WOODLAWN AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182929",
            "telephone_number": "610-868-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DAVID",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS26080L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Montilla, MHP
• Jacqueline Montoya, MD
• Anthony Moon, D.O.
• Kristina Rose Mooney
• Charles Sidney Moore Jr., CRNA
• Roselin M Morales, LMT
• Ruth E Morales, MSN, PMHNP-BC
• Erin Nicole Moran, OTR/L
• Lynn Nicole Moran, D.O.
• Moravian Village of Bethlehem, Inc.

• General Practice Dentistry in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.