Individual provider Active NPI

James Durning Moore Jr., DMD

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1952781924
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10820 Issued in NC
Practice address
330 Billingsley Rd Ste 208
Charlotte, NC 28211-5020
Phone
(704) 364-9901
NPI assigned
Jun 4, 2015
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8547 SC
General Practice Dentistry 1223G0001X 10820 NC Primary

Addresses

Primary practice location

330 Billingsley Rd Ste 208
Charlotte, NC 28211-5020

Mailing address

318 W Farley Ave
Laurens, SC 29360-3055
Phone (864) 766-4634

Other practice location 1

5508 NC Highway 49 S
Harrisburg, NC 28075
Phone (704) 247-5745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8547SCMDPharmacotherapy Pharmacist
10820NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Durning Moore DMD PA General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1952781924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W FARLEY AVE",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293603055",
            "telephone_number": "864-766-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BILLINGSLEY RD STE 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115020",
            "telephone_number": "704-364-9901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5508 NC Highway 49 S",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "NC",
            "postal_code": "28075",
            "country_code": "US",
            "telephone_number": "704-247-5745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JAMES",
        "middle_name": "DURNING",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8547",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.