NPIMap

Organization Active NPI

Moore Dentistry, Inc.

  • Dental Clinic/Center
  • Fishers, IN
National Provider Identifier
1922270404
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12010751A Issued in IN
Legal business name
MOORE DENTISTRY, INC.
Practice address
11630 Olio Rd
Suite #100
Fishers, IN 46037-7677
Phone
(317) 348-1354
Fax
(866) 511-4151
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Brent Allen Moore, D.D.S.NPI 1720158470
Title
President
Phone
(317) 348-1354

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12010751A IN Primary

Addresses

Primary practice location

11630 Olio Rd
Suite #100
Fishers, IN 46037-7677

Mailing address

14575 Lansing PL
Fishers, IN 46038-5273
Phone (317) 679-8207

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1922270404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 LANSING PL",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460385273",
            "telephone_number": "317-679-8207",
            "fax_number": "866-511-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 OLIO RD",
            "address_2": "SUITE #100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377677",
            "telephone_number": "317-348-1354",
            "fax_number": "866-511-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-348-1354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12010751A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.