Amanda Campbell Moore, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN25674 Issued in FL

Practice address

8500 SW 92ND St Ste 103
Miami, FL 33156-7379

Phone

(305) 271-0861

NPI assigned

Jul 21, 2020

Sex

Female

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

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1881202273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 SAN LUIS REY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262904",
            "telephone_number": "573-620-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 SW 92ND ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567379",
            "telephone_number": "305-271-0861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7555 S Center View Ct # 200",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840841925",
            "country_code": "US",
            "telephone_number": "801-566-8540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Country Clb Ste 103",
            "address_purpose": "LOCATION",
            "city": "Stansbury Park",
            "state": "UT",
            "postal_code": "840749602",
            "country_code": "US",
            "telephone_number": "435-882-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMANDA",
        "middle_name": "CAMPBELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11821815-9922",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sachin Moonat, M.D., PH.D.
• Zide Mooni
• Moonshine Alf LLC
• Vivian Yvette Moore-Gaudette, PMHC
• Alexa Taylor Moore, PA-C
• Ana Moore
• Angela Courtney Moore, ARNP
• Christina Carr Moore
• Corey Moore, PHARMD
• Derek S Moore

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.