Matthew Moore, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

13163 Issued in NC

Practice address

70 Westgate Dr
Brockton, MA 02301-1811

Phone

(704) 778-1920

NPI assigned

Jul 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mmoore3034671@carolinashealthcaresystem.direct-ci.com

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1932727708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 BLAKENEY PROFESSIONAL DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776749",
            "telephone_number": "704-716-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WESTGATE DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011811",
            "telephone_number": "704-778-1920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E 85th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100283001",
            "country_code": "US",
            "telephone_number": "212-241-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Dr. D.B. Todd Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37208",
            "country_code": "US",
            "telephone_number": "704-778-1920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8840 Blakeney Professional Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282776749",
            "country_code": "US",
            "telephone_number": "704-716-9840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MATTHEW",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "13163",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "0000011693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Moore, APRN
• Jacob E Moore, MD
• Jamie L Moore
• Jennifer Marie Moore
• Joseph William Moore, MA LMHC
• Natisha Moore
• Jessica Abigail Morales
• Melissa Morales, BA
• Susan Lynn Morales, LICSW
• Adia Moran, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Brockton, MA
• Providers in Brockton, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.