Ronald L Moore DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RONALD L MOORE DDS INC

Practice address

25835 Barton Rd Ste 104
Loma Linda, CA 92354-3898

Phone

(909) 796-2299

Fax

(909) 796-2509

NPI assigned

Jul 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ronald MooreNPI 1417098674

Title

Owner

Phone

(909) 796-2299

Specialties & licenses 1

Addresses

Other names 1

• Ronald L Moore DDS Inc Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Moore, DDS

  • General Practice Dentistry
  • Loma Linda, CA
  • NPI 1417098674
  NPD Authorized official
• Bruce Lee Taber, DDS

  • Dentist
  • Loma Linda, CA
  • NPI 1346670627
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1891348074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25835 BARTON RD STE 104",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543898",
            "telephone_number": "909-796-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25835 BARTON RD STE 104",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543898",
            "telephone_number": "909-796-2299",
            "fax_number": "909-796-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L MOORE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-796-2299",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald L Moore DDS Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pharez Dishon Rolle
• Melanie Roman, MD
• Samantha Romero Green
• Yajahira Yuremi Romero, MD
• Meditas L Romey
• James Rook, D.O., M.P.H.
• Philip John Roos, M.D.
• Gina Delia Roque Torres, DDS
• Lewis Allen Roque, RRT
• David Roquiz

• General Practice Dentistry in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.