David Holland Moore, DDS, MS, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5518 Issued in NC

Practice address

411 Billingsley Rd
Suite 106
Charlotte, NC 28211-1046

Phone

(704) 377-3694

Fax

(704) 377-9790

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Physician Assistant

State licenses

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982706917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 S KINGS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071806",
            "telephone_number": "704-377-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BILLINGSLEY RD",
            "address_2": "SUITE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111046",
            "telephone_number": "704-377-3694",
            "fax_number": "704-377-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DAVID",
        "middle_name": "HOLLAND",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "5518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890110V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Moore
• Chrishanda Moore, CNA
• Christopher A Moore, RPH
• Courtney Moore, MSW, LCSWA
• Crystal Moore, LPC
• Denise Moore
• Dorothy Zandre Shekela Moore
• Elizabeth A Moore, MD
• Erin Elizabeth Moore, MSW, MPA, LCSWA
• Folami Moore

• Pediatric Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.