DR. BRENT WILLIAM MOORE (NPI# 1104917178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104917178 |
| Entity Type | Individual |
| Full Name | DR. BRENT WILLIAM MOORE |
| Credential | DDS |
| Practice Address |
764 W Commerce St Fairfield TX 75840-1428 |
| Practice Telephone | 9033894151 |
| Mailing Telephone | 9033894151 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
16589 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720158470 | Brent Allen Moore | Dentist | 11630 Olio Rd, Suite #100, Fishers, IN 46037-7677 | 2006-11-09 |
| 1699131763 | Brent Moore | Counselor | 9450 Sw Barnes Rd Ste 200, Portland, OR 97225-6638 | 2016-01-05 |
| Street Address |
764 W COMMERCE ST |
| City | FAIRFIELD |
| State | TX |
| Zip Code | 75840-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154360766 | James Kerbacher | Family Medicine | 764 W Commerce St, Fairfield, TX 75840-1428 | 2006-06-06 |
| 1497913172 | Lisa Gayle Wehe | Nurse Practitioner | 764 W Commerce St, Fairfield, TX 75840-1428 | 2008-05-29 |
| 1407865603 | Cheryl F Roberts | Nurse Practitioner | 764 W Commerce St, Fairfield, TX 75840-1428 | 2006-08-05 |
| 1487694717 | James Michael Orms | Family Medicine | 764 W Commerce St, Fairfield, TX 75840-1428 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508724 | Caitlin Nicole Sieck | Physical Therapist | 375 A West Hwy 84, Fairfield, TX 75840 | 2020-08-13 |
| 1841816014 | Katie Randall | Licensed Practical Nurse | 115 Pr 1295, Fairfield, TX 75840 | 2020-06-23 |
| 1063574671 | Rural Rehab Providers, LLC | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2006-12-14 |
| 1598854572 | Erin Maggard | Specialist | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| 1003916453 | Brookshire Brothers Inc | Pharmacy | 300 West Hwy 84, Fairfield, TX 75840 | 2006-09-25 |
| 1003899501 | Air Evac Ems Inc | Ambulance | 160 Interstate 45 S, Fairfield, TX 75840 | 2005-11-29 |
| 1316423452 | Tonya N Basque | Nurse Practitioner | 734 W Commerce St, Fairfield, TX 75840 | 2018-07-12 |
| 1952681256 | Suzanne Castles | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2011-08-18 |
| 1245476282 | Jack D Runyan | Physician Assistant | 734 W Commerce St, Fairfield, TX 75840 | 2008-12-22 |
| 1407945488 | Lisa Lott | Nurse Practitioner | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| Find all providers in zip 75840 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876051 | Karun Kaushal | Dentist | 2432 Mainsail Ct, Fairfield, CA 94534-1784 | 2019-11-27 |
| 1063063469 | Krunali Kapadia | Dentist | 1325 Travis Blvd Ste D, Fairfield, CA 94533-4611 | 2019-09-26 |
| 1962050765 | Sasha Drexler Dentistry Pllc | Dentist | 1305 Post Rd Ste 200, Fairfield, CT 06824-6016 | 2019-08-27 |
| 1801441902 | Fairfield Dental Associates PC | Dentist | 1979 Post Rd, Fairfield, CT 06824-5723 | 2019-08-06 |
| 1184119224 | Judge Ct Dental PC | Dentist | 2209 Black Rock Tpke, Fairfield, CT 06825-3243 | 2018-06-29 |
| 1922513811 | S. Jang Dds Incorporated | Dentist | 1955 W Texas St Ste 2b, Fairfield, CA 94533-4462 | 2017-12-13 |
| 1174038327 | First Dental LLC | Dentist | 325 Reef Rd Ste 106, Fairfield, CT 06824-6537 | 2017-12-11 |
| 1104330455 | Christopher French Dds, Inc | Dentist | 3825 Kraus Ln Unit J, Fairfield, OH 45014-5866 | 2017-11-24 |
| 1235594474 | Laurel Santos | Dentist | 1402 Pennsylvania Ave, Fairfield, CA 94533-3507 | 2015-12-15 |
| 1184093445 | Alicia Marie Schexnayder | Dentist | 3332 N Texas St Ste C, Fairfield, CA 94533-9758 | 2015-09-17 |
| Find all providers in FAIRFIELD | ||||
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| 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.