David H. Moore DDS, Ms, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DAVID H. MOORE DDS, MS, PA

Practice address

10320 Mallard Creek Rd
Suite 150
Charlotte, NC 28262-9756

Phone

(704) 547-8438

Fax

(704) 547-9323

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Brandi Myrick Parker

Title

Account Coordinator

Phone

(704) 377-3694

Specialties & licenses 2

Addresses

Other identifiers 6

Tax ID family

David H Moore DDS Ms PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• David H. Moore, DDS,Ms,PA

  • Pediatric Dentistry
  • Charlotte, NC
  • NPI 1417977950
  NPD tax ID

Locations

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1801067327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BILLINGSLEY RD",
            "address_2": "SUITE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28211",
            "telephone_number": "704-547-8438",
            "fax_number": "704-547-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 MALLARD CREEK RD",
            "address_2": "SUITE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629756",
            "telephone_number": "704-547-8438",
            "fax_number": "704-547-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H. MOORE DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "MYRICK",
        "authorized_official_title_or_position": "ACCOUNT COORDINATOR",
        "authorized_official_telephone_number": "704-377-3694",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907730",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903366",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905575",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902RT",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8996034",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905114",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• David E. Shanks, PA
• David H. Moore, DDS,Ms,PA
• David H. Roberts MD PC
• David Hendrick DDS PLLC III
• David Ritchie DC PC
• David W. Markham DDS PA & Sean R Hair DMD PA

• Pediatric Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.