Timothy Hamman Moore, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17677 Issued in OH

Practice address

2508 Bethel Rd
Columbus, OH 43220-2293

Phone

(614) 459-5205

Fax

(614) 459-5942

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891709465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 GLENN AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123231",
            "telephone_number": "614-486-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202293",
            "telephone_number": "614-459-5205",
            "fax_number": "614-459-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TIMOTHY",
        "middle_name": "HAMMAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "186852",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Moore, APRN, FNP-C
• Theranie Moore
• Tia Moore
• Tiha Ann Moore
• Timothy Moore, MD
• Timothy John Moore, MD
• Toren Moore
• Troy Ray Moore Jr.
• Unisha C Moore
• Valerie R. Moore, CNP

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.