Active NPI
Robert Moran Jr.
- Pediatric Dentistry
- Cary, NC
National Provider Identifier
1801013180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 6367
- Practice address
- 120 Preston Executive Dr
Suite 100
Cary, NC 27513-8445 - Phone
- (919) 468-9775
- Fax
- (919) 468-5001
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 6367 | NC | Primary |
Addresses
Primary practice location
120 Preston Executive Dr
Suite 100
Cary, NC 27513-8445
Mailing address
120 Preston Executive Dr
Suite 100
Cary, NC 27513-8445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899001W | Medicaid | NC |
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 |
|---|---|---|---|
| 6367 | NC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert a. Moran Jr., DDS, Ms, Richard F. Brooks DDS, PA | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Cary, NC
- NPI 1104927912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1801013180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 PRESTON EXECUTIVE DR",
"address_2": "SUITE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275138445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PRESTON EXECUTIVE DR",
"address_2": "SUITE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275138445",
"telephone_number": "919-468-9775",
"fax_number": "919-468-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "ROBERT",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "6367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "899001W",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.