Johnny Clark Moraes, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN29497 Issued in FL

Practice address

3015 Bayview Dr Ste B
Fort Lauderdale, FL 33306-1710

Phone

(954) 658-4561

NPI assigned

Jul 25, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bayview Dentistry PA

  • Dental Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1124996863
  NPD Authorized official

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1932835717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 BAYVIEW DR STE B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061710",
            "telephone_number": "954-658-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 BAYVIEW DR STE B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061710",
            "telephone_number": "954-658-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAES",
        "first_name": "JOHNNY",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theola Moore, MS, MHC
• Melodie Kay Moorehead, PH.D.,ABPP
• Erika Michele Moorman, M.S.,CCC-SLP
• Jessica Mora, ATC, CSCS
• Alexander James Moradian, MD
• Stuart George Moraitis, DDS
• Maria del Mar Morales Hernandez, MD
• Brian Abel Morales Perez
• Maikel Morales Suarez, SA-C
• Yajaira Morales-Lopez, MS

• Dentist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.