Organization Active NPI

Terrance H. Moore DDS PC

  • General Practice Dentistry
  • Royal Oak, MI
National Provider Identifier
1831809839
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TERRANCE H. MOORE DDS PC
Practice address
28926 Woodward Ave
Royal Oak, MI 48067-0942
Phone
(248) 398-9528
Fax
(248) 398-4553
NPI assigned
Nov 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Terrance Henry Moore, DDSNPI 1689894388
Title
Owner/President
Phone
(248) 398-9528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

28926 Woodward Ave
Royal Oak, MI 48067-0942

Mailing address

28926 Woodward Ave
Royal Oak, MI 48067-0942
Phone (248) 398-9528

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Smilesandmooredds@gmail.com

National Provider Directory

National Provider Directory

Locations

28926 Woodward Ave
Royal Oak, MI 48067
Phone (248) 398-9528

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1831809839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28926 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670942",
            "telephone_number": "248-398-9528",
            "fax_number": "248-398-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28926 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670942",
            "telephone_number": "248-398-9528",
            "fax_number": "248-398-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRANCE H. MOORE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "248-398-9528",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Smilesandmooredds@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "address_1": "28926 Woodward Ave",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480670942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.