Individual provider Active NPI

Janeen M Moore, DDS

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1841220100
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8778 Issued in TN
Practice address
107 Charles E Davis Blvd
Nashville, TN 37210-2745
Phone
(615) 227-3000
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6009 LA
General Practice Dentistry 1223G0001X 8778 TN Primary

Addresses

Primary practice location

107 Charles E Davis Blvd
Nashville, TN 37210-2745

Mailing address

107 Charles E Davis Blvd
Nashville, TN 37210-2745
Phone (337) 654-9044

Other identifiers 1

IdentifierTypeStateIssuer
407200708MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170220002593 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7911280896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6009LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Total Mobile Dental, PLLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmoore@direct.neighborhoodhealthtn.nextgenshare.com

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1841220100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CHARLES E DAVIS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372102745",
            "telephone_number": "337-654-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHARLES E DAVIS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372102745",
            "telephone_number": "615-227-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JANEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6009",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407200708",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.