Larry J. Moore, D.D.S., M.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

29931 Issued in CA

Practice address

4200 Chino Hills Pkwy
#805
Chino Hills, CA 91709-3776

Phone

(909) 606-0160

Fax

(909) 606-4061

NPI assigned

Mar 14, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• P Grewal DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Chino Hills, CA
  • NPI 1225903560
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992773022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 CHINO HILLS PKWY",
            "address_2": "#805",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093776",
            "telephone_number": "909-606-0160",
            "fax_number": "909-606-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CHINO HILLS PKWY",
            "address_2": "#805",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093776",
            "telephone_number": "909-606-0160",
            "fax_number": "909-606-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LARRY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "29931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard James Mitchell III
• Naheed Momand, D.O.
• Daryl C Moniaga, OD
• Reese Ann Montgomery
• Debra Alice Montoya
• Blake Michael Moreno
• Dyann Mireya Moreno
• Bahar Movahed Bashiri, DDS, MS
• Tomasa Muniz
• Bryce Munyer

• Oral and Maxillofacial Surgery (Dentist) in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.