Individual provider Active NPI

Jennifer Moor, DMD

  • General Practice Dentistry
  • Northampton, MA
National Provider Identifier
1831828854
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1859396 Issued in MA
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

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
13928CTMDClinical Social Worker
DN26868FLMDGeneral Practice Dentistry
DN1859396MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Refresh Valley Dental, PLLC CurrentSince Jan 19, 2025 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.

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.

Verify at the official NPI Registry.