Michelle Lynn Moure, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12014481A Issued in IN

Practice address

5104 Charlestown Rd
New Albany, IN 47150-9429

Phone

(812) 670-5907

NPI assigned

Mar 27, 2023

Last updated

Aug 15, 2024By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crossings Clinic LLC

  • Dentist
  • New Albany, IN
  • NPI 1871971887
  NPD (past)

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1912600990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509429",
            "telephone_number": "812-670-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509429",
            "telephone_number": "812-670-5907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5520 E Highway 62",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471308735",
            "country_code": "US",
            "telephone_number": "812-280-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4100 Woehrle Rd",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471308396",
            "country_code": "US",
            "telephone_number": "812-280-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 Goodman St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192364",
            "country_code": "US",
            "telephone_number": "513-584-6660",
            "fax_number": "513-584-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURE",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014481A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mortenson Family Dental
• Caitlin Moser, COTA/L
• Madeline Moses, PHARMD
• Steven R. Mosley, D. P. M.
• Donna Ann Moss, ARNP
• Mary Beth Mucklow, AUD
• Justice Mudd
• Stephanie Mullins
• Danielle Mumma, MA
• Allyson Sue Murawski, RN, BSN, RNC-OB

• General Practice Dentistry in New Albany, IN
• Providers in New Albany, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.