DR. GARY N MOORE (NPI# 1376522979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376522979 |
| Entity Type | Individual |
| Full Name | DR. GARY N MOORE |
| Credential | DDS |
| Practice Address |
2620 Tenderfoot Hill St Ste 210 Colorado Springs CO 80906 |
| Mailing Address |
2620 Tenderfoot Hill St Ste 210 Colorado Springs CO 80906-8356 |
| Practice Telephone | 7196406407 |
| Mailing Telephone | 7196406407 |
| Mailing Fax Number | 7196940240 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2019-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8585 | CO | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
3216 | NV | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 S 21st St Unit 120, Colorado Springs, CO 809043763 | 7193875612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497285266 | Gary Thomas Moore | Behavior Technician | 6311 Bonaire Ave, New Port Richey, FL 34653-1601 | 2017-06-14 |
| 1316016967 | Gary Carl Moore | Chiropractor | 256 Roskovensky Rd, Latrobe, PA 15650-5489 | 2006-11-07 |
| 1114560265 | Gary C Moore | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2019-10-22 |
| 1487120275 | Gary Moore | Counselor | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2018-10-18 |
| 1417407917 | Gary Moore | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-10-07 |
| 1407151756 | Gary Moore | Physical Therapy Assistant | 200 Sw 14th St, Newton, KS 67114-4701 | 2011-01-18 |
| 1437392768 | Gary L Moore | Counselor | 3260 N Hayden Rd, Suite 112, Scottsdale, AZ 85251-6649 | 2009-04-16 |
| 1437305042 | Gary John Moore | Registered Nurse | 1519 Nye Rd, Suite 200, Lyons, NY 14489-9133 | 2008-08-14 |
| 1093924623 | Gary Moore | Case Manager/Care Coordinator | 673 San Jose Ave, San Francisco, CA 94110-4914 | 2007-05-21 |
| 1053533455 | Gary Thomas Moore | Counselor | 212 I St, Davis, CA 95616-4213 | 2007-05-03 |
| Street Address |
2620 TENDERFOOT HILL ST STE 210 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255107 | Star Dental Institute Inc | Clinic/Center | 2620 Tenderfoot Hill St Ste 210, Colorado Springs, CO 80906-8356 | 2019-06-26 |
| 1710400494 | Rachel Cabugao Espinoza | Dentist | 2620 Tenderfoot Hill St Ste 210, Colorado Springs, CO 80906-8356 | 2017-07-25 |
| 1710432885 | Wade Murray Elton | Dentist | 2620 Tenderfoot Hill St Ste 210, Colorado Springs, CO 80906-8356 | 2016-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| 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 |
|---|---|---|---|---|
| 1295342640 | Union Blvd Dental Pllc | Dentist | 3920 N Union Blvd Ste 380, Colorado Springs, CO 80907-4922 | 2020-09-29 |
| 1548877608 | Elbert Dental Pllc | Dentist | 6140 Tutt Blvd Ste 140, Colorado Springs, CO 80923-3574 | 2020-09-23 |
| 1063035863 | Elbert Dental Pllc | Dentist | 6240 Woodmen Park Vw, Colorado Springs, CO 80923-2616 | 2020-05-27 |
| 1932735750 | Center Point Dental Pllc | Dentist | 5410 Powers Center Pt Ste 200, Colorado Springs, CO 80920-7148 | 2020-03-13 |
| 1881228245 | Powers Dental Specialists LLC | Dentist | 5740 N Carefree Cir Ste 150, Colorado Springs, CO 80917-2787 | 2020-02-25 |
| 1174167217 | Elbert Dental Pllc | Dentist | 6665 Delmonico Dr Ste C, Colorado Springs, CO 80919-1895 | 2019-11-01 |
| 1962059931 | Colorado Dental Professionals, LLC | Dentist | 655 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3859 | 2019-08-23 |
| 1750875019 | Steven George | Dentist | 5925 Lehman Dr Ste 2, Colorado Springs, CO 80918-3418 | 2018-06-20 |
| 1962995068 | Trenton Jeffery Platt | Dentist | 2465 Research Pkwy Ste 100, Colorado Springs, CO 80920-1089 | 2018-06-13 |
| 1710477732 | Dental Health Professionals of Colorado | Dentist | 830 Tenderfoot Hill Rd Ste 210, Colorado Springs, CO 80906-7372 | 2018-05-15 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
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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.