Krista Annalise Johnson Moore, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00203623 Issued in CO

Practice address

2800 E 136TH Ave
Thornton, CO 80241-3417

Phone

(720) 872-2892

NPI assigned

Jun 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1922591148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5199 BEELER ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E 136TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413417",
            "telephone_number": "720-872-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KRISTA",
        "middle_name": "ANNALISE JOHNSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Montanye, B.S.
• Rachel Marie Montes
• Candice Regina Montoya
• Darrella Star Montoya
• Ashley Elizabeth Moody, RN, FNP-C
• Lindsay Deanna Moore, DDS
• Pamela Anne Moore, CMT
• Rachel Elizabeth Moore
• Samuel Thomas Moore, M.ED
• Sarah Moore

• General Practice Dentistry in Thornton, CO
• Providers in Thornton, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.