Benjamin Ross Moore, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10065 Issued in NC

Practice address

15 Rawls Rd
Suite 200
Angier, NC 27501-6033

Phone

(715) 587-7025

NPI assigned

Jun 10, 2015

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

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1992186415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CROWS VIEW DR",
            "address_2": "APT 106",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275290048",
            "telephone_number": "715-587-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RAWLS RD",
            "address_2": "SUITE 200",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275016033",
            "telephone_number": "715-587-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BENJAMIN",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Mezzanotte
• James Stanley Miazga Jr., LCMHC
• Michael Jay Fuller
• Monarch
• Paul Montagna, DDS
• Takira Nicole Morrison, PHARMD
• Move Chiropractic, PLLC
• Cara Ann Mowery, MS, RDN, LDN, IBCLC
• Morgan Muir, OTR/L
• Udaya Bhasker Narayanaraopeta, DDS

• General Practice Dentistry in Angier, NC
• Providers in Angier, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.