Active NPI
RJ Moore & Am Moore LLC
- Dentist
- Parkersburg, WV
National Provider Identifier
1891188801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3424
- Legal business name
- RJ MOORE & AM MOORE LLC
- Practice address
- 1414 Blizzard Dr
Parkersburg, WV 26101-6423 - Phone
- (304) 424-5355
- NPI assigned
- Mar 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aaron Michael Moore, DDS
- Title
- Member
- Phone
- (304) 424-5355
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3424 | WV | Primary |
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
1414 Blizzard Dr
Parkersburg, WV 26101-6423
Mailing address
1414 Blizzard Dr
Parkersburg, WV 26101-6423
Phone (304) 424-5355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210520001515 | WV | DME Supplier - Oral Surgery - Dentist | 1153720388 | Practice locations: Parkersburg, WV |
National Provider Directory
National Provider DirectoryLocations
1414 Blizzard Dr
Parkersburg, WV 26101
Phone (304) 424-5355
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Parkersburg, WV
- NPI 1306979711
-
- Dentist
- Parkersburg, WV
- NPI 1144585399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619395200000",
"number": "1891188801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 BLIZZARD DR",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261016423",
"telephone_number": "304-424-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 BLIZZARD DR",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261016423",
"telephone_number": "304-424-5355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RJ MOORE & AM MOORE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-15",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "304-424-5355",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "WV",
"license": "3424",
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.