Daniel Edmund Moore Jr., DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DS040415 Issued in PA

Practice address

1033 Andrew Dr
West Chester, PA 19380-4293

Phone

(610) 696-5149

NPI assigned

Mar 17, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Visionary Dental, LLC

  • Prosthodontics
  • West Chester, PA
  • NPI 1972226108
  NPD Authorized official

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1851752844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 ANDREW DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804293",
            "telephone_number": "610-696-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 ANDREW DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804293",
            "telephone_number": "610-696-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DANIEL",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-17",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040415",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS040415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Marcella Montgomery, MT-BC
• Jane Grosser Montgomery, DDS MSD
• Julie Montgomery, MSW, LSW
• Cheryl Ann Monturo, PHD, MBE, ACNP-BC
• Christina Moore
• Elizabeth Moore
• Margaret Moore, RN
• Megan Morace
• Natasha I Morales, BS
• Katherine Moran, LPC

• Prosthodontics in West Chester, PA
• Providers in West Chester, PA by specialty
• Prosthodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.