Brian Curry Moore, DMD

Individual provider Active NPI General Practice Dentistry · Owings Mills, MD

NPI 1992883185 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992883185
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
08996 (MD)
Practice address
10085 Red Run Blvd
Suite 407
Owings Mills, MD 21117-4836
Phone
(410) 356-1400
Fax
(410) 356-1404
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cosmetic and Implant Dentistry of Maryland, Inc. Current Accepting new patients

Locations

10085 Red Run Blvd
Ste 407
Owings Mills, MD 21117
Phone (410) 356-1400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08996 MD Yes

Addresses

Primary practice location

10085 Red Run Blvd
Suite 407
Owings Mills, MD 21117-4836

Mailing address

10085 Red Run Blvd
Suite 407
Owings Mills, MD 21117-4836
Phone (410) 356-1400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992883185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10085 RED RUN BLVD",
            "address_2": "SUITE 407",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174836",
            "telephone_number": "410-356-1400",
            "fax_number": "410-356-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10085 RED RUN BLVD",
            "address_2": "SUITE 407",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174836",
            "telephone_number": "410-356-1400",
            "fax_number": "410-356-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRIAN",
        "middle_name": "CURRY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "08996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

All providers in Owings Mills, MD · General Practice Dentistry in Maryland

Sources for this page

Verify at the official NPI Registry.