Active NPI
Jennifer Moor, DMD
- General Practice Dentistry
- Northampton, MA
National Provider Identifier
1831828854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1859396
- Practice address
- 15 Atwood Dr Ste 203
Northampton, MA 01060-4276 - Phone
- (413) 387-4585
- NPI assigned
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13928 | CT | |
| General Practice Dentistry | 1223G0001X | DN26868 | FL | |
| General Practice Dentistry | 1223G0001X | DN1859396 | MA | Primary |
Addresses
Primary practice location
15 Atwood Dr Ste 203
Northampton, MA 01060-4276
Mailing address
218 Mountain Rd
Wilbraham, MA 01095-1720
Phone (941) 323-5431
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 |
|---|---|---|---|
| 13928 | CT | MD | Clinical Social Worker |
| DN26868 | FL | MD | General Practice Dentistry |
| DN1859396 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refresh Valley Dental, PLLC | Current | Accepting new patients |
Locations
15 Atwood Dr
Ste 203
Northampton, MA 01060
Phone (413) 387-4585
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.
-
- Dentist
- Northampton, MA
- NPI 1376127258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1831828854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 MOUNTAIN RD",
"city": "WILBRAHAM",
"state": "MA",
"postal_code": "010951720",
"telephone_number": "941-323-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ATWOOD DR STE 203",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010604276",
"telephone_number": "413-387-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOR",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "13928",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN26868",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1859396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.