DR. REGAN L MOORE (NPI# 1093853095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093853095 |
| Entity Type | Individual |
| Full Name | DR. REGAN L MOORE |
| Credential | DDS |
| Practice Address |
501 S Preston St Louisville KY 40292-0001 |
| Practice Telephone | 5028525128 |
| Practice Fax Number | 5028527163 |
| Mailing Telephone | 5028525128 |
| Mailing Fax Number | 5028527163 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
5947 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DORAL DENTAL | 9179124 | 01 | |
| KY | 6003670 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386970986 | Regan Sarah Moore | Counselor | 10 N Main St, Fall River, MA 02720-2130 | 2009-11-02 |
| Street Address |
501 S PRESTON ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40292-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326043555 | Wendy Stavrides Hupp | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2005-06-15 |
| 1598393183 | Timothy Michael Haffner | Student in an Organized Health Care Education/Training Program | 501 S Preston St, Louisville, KY 40202-1701 | 2020-03-30 |
| 1174166821 | Muhammad Saleh | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-10-25 |
| 1639729593 | Gustavo Machado Santaella | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-09-12 |
| 1235796988 | Daniel Flaherty Ritchey | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-05-28 |
| 1184280778 | Jonathan Thomas | Student in an Organized Health Care Education/Training Program | 501 S Preston St, Louisville, KY 40202-1701 | 2019-05-20 |
| 1669939559 | Evan M Harpster | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-02-27 |
| 1275099624 | Aikaterini Kavvadia | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-02-11 |
| 1316431372 | Parker Haycock | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2018-06-21 |
| 1679066526 | Troy Bancha Tran | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2018-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698703 | Christopher Robert Millett | Music Therapist | Attn: Chris Millett - Music Therapy Clinic, School of M, 2301 South 3rd St, Louisville, KY 40292 | 2020-01-14 |
| 1376048561 | Dallas Samuel Hagman | Student in an Organized Health Care Education/Training Program | Orthopaedic Surgery Academic Office, Attn: Monica Welsh, 550 S. Jackson Street, Acb, 1st Floor, Louisville, KY 40292 | 2018-03-28 |
| 1477087898 | Bryan T Kendricks | Dentist | School of Dentistry University of Louisville, Rm 148, Louiville, KY 40292 | 2017-04-12 |
| 1619391778 | Rebecca Park | Specialist/Technologist | 2125 S Floyd St, Louisville, KY 40292 | 2014-02-10 |
| 1700148483 | Kenneth Saad Chakour | Orthopaedic Surgery | 550 South Jackson Street, 1st Floor, Ambulatory Care Building, Louisville, KY 40292 | 2012-06-08 |
| 1871607150 | Barbara Ann Stetson | Psychologist | Dept of Psychological & Brain Sciences, 317 Life Sci Ences Bldg, Univ of Louisville, Louisville, KY 40292 | 2006-08-17 |
| 1508848854 | Maya Leggett | Emergency Medicine | Department of Surgery; School of Medicine, University of Louisville, Louisville, KY 40292 | 2005-11-14 |
| 1396277067 | Tamour Khan Tareen | Student in an Organized Health Care Education/Training Program | 500 South Preston Street, Hsc-a Rm. 113, Louisville, KY 40292 | 2017-03-31 |
| 1780079905 | Jae Kim | Internal Medicine | 201 Abraham Flexner Way Ste 600, Louisville, KY 40292 | 2015-04-03 |
| 1992044424 | Eiad Nehad Elathamna | Dentist | 501 South Preston Street, Room # 312, Louisville, KY 40292 | 2013-02-04 |
| Find all providers in zip 40292 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447789029 | John Andrew Houston | Dentist | 5141 Dixie Hwy Ste 102, Louisville, KY 40216-1765 | 2017-06-07 |
| 1710191317 | Carl N. Bauman | Dentist | 10228 Shelbyville Rd, Louisville, KY 40223-2978 | 2007-05-10 |
| 1164563664 | Ziad Dib | Dentist | 501 S Preston, Room 236, Louisville, KY 40292-0001 | 2007-02-09 |
| 1295873479 | Ricardo L Vidal Gonzalez | Dentist | 1313 Lyndon Ln Ste 214, Louisville, KY 40222 | 2007-02-01 |
| 1114944816 | Periodontal Care & Implant Center | Dentist | 3409 Stony Spring Cir, Louisville, KY 40220-5433 | 2006-07-17 |
| 1558323873 | Patricia W Tucker | Dentist | 902 Dupont Rd, Louisville, KY 40207-4602 | 2006-04-03 |
| 1174166821 | Muhammad Saleh | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-10-25 |
| 1003390352 | Niyati Kapadia | Dentist | 401 E Chestnut St Unit 550, Louisville, KY 40202-5705 | 2018-09-22 |
| 1962850503 | Hima Bindu Pallagorla | Dentist | 501 S Preston St, Room 312, Louisville, KY 40202-1701 | 2016-05-24 |
| 1588099683 | Diksha Katwal | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2013-09-08 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40292 |
Please comment or provide details below to improve the information on DR. REGAN L MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.