Brenda Moore, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DENH966 Issued in AK

Practice address

7223 Mississippi Ave Building 2157
Fort Polk, LA 71459

Phone

(337) 531-4854

NPI assigned

Mar 30, 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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1952806986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 FAIRWAY CT",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714593121",
            "telephone_number": "907-854-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7223 MISSISSIPPI AVE BUILDING 2157",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "71459",
            "telephone_number": "337-531-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRENDA",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AK",
            "license": "DENH966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Elise Merchant, DPT
• Arielle Miller
• Elena Milstead, MD
• Monica Hargovind Mirchandani, DO
• Cherise Monroe
• Sarah Elizabeth Moore, MSW
• Marie Carmel Morency, NURSE SPECIALIST
• Lindsay Edwards Muncy, M.D.
• Patrick Muncy
• Dane Hamilton Nerad, DO

• Dental Hygienist in Fort Polk, LA
• Providers in Fort Polk, LA by specialty
• Dental Hygienist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.