DR. PATRICK BRETT MOORE (NPI# 1497789036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497789036 |
| Entity Type | Individual |
| Full Name | DR. PATRICK BRETT MOORE |
| Credential | DDS, MD |
| Practice Address |
6340 N Chatham Ave Kansas City MO 64151-2473 |
| Mailing Address |
2310 Holmes St Ste 800 Kansas City MO 64108-2602 |
| Practice Telephone | 8167461171 |
| Practice Fax Number | 8167461171 |
| Mailing Telephone | 8162182523 |
| Mailing Fax Number | 8164217379 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2005019138 | MO | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 2005019138 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KANSAS DENTAL LICENSE | 61071 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740617968 | Patrick Joseph Moore | Anesthesiology | 5500 State Road 111, New Albany, IN 47150-9009 | 2013-10-02 |
| 1720338890 | Patrick James Moore | Massage Therapist | 109 S Summit Ave, Bremerton, WA 98312-4119 | 2012-09-14 |
| 1598068595 | Patrick W Moore | Counselor | 5150 Penn Avenue, Pittsburgh, PA 15224-1626 | 2010-12-13 |
| 1811168610 | Patrick Seth Moore | Pharmacist | 220 E Crestwood Ct, Gallup, NM 87301-7120 | 2008-03-19 |
| 1871653899 | Patrick Moore | Dentist | 21970 Bulverde Rd Ste 100, San Antonio, TX 78259-2179 | 2006-12-11 |
| 1487725487 | Patrick Dale Moore | Chiropractor | 8258 Rockville Road, Indianapolis, IN 46214-0000 | 2006-11-13 |
| 1811066046 | Patrick Michael Moore | Dentist | 2232 St Clair Ave, East Liverpool, OH 43920-1437 | 2006-11-06 |
| 1558321505 | Patrick Daniel Moore | Podiatrist | 3811 29th Ave, Ste3, Kearney, NE 68845-1280 | 2006-03-24 |
| 1982604419 | Patrick Devincent Moore | Family Medicine | 3414 Moss St, Suite F&g, Lafayette, LA 70507-6107 | 2005-07-27 |
| 1669089090 | Patrick Moore | Pharmacist | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2020-09-29 |
| Street Address |
6340 N CHATHAM AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64151-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124689112 | Kai Michael Ezell | Dentist | 6340 N Chatham Ave, Kansas City, MO 64151-2473 | 2019-06-21 |
| 1699334656 | Tara Layne Humble | Dentist | 6340 N Chatham Ave, Kansas City, MO 64151-2473 | 2019-06-12 |
| 1275970279 | Alex Sharifian Dds Parkville Modern Dentistry, PC | Dentist | 6340 N Chatham Ave, Kansas City, MO 64151-2473 | 2013-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033813 | Jonene Jaynes | Technician | 5002 Nw Martin Dr, Platte County, MO 64151 | 2019-10-01 |
| 1033636956 | Autism Support Now, LLC | Behavioral Analyst | 6500 Nw Tower Drive, Suite 100, Platte Woods, MO 64151 | 2017-08-23 |
| 1699205211 | Alma C Batchelor | Behavior Technician | 5863 Nw 72nd Street, Kansas City, MO 64151 | 2017-06-15 |
| 1588015291 | Freedom Care, LLC | Home Health Aide | 5727 N. Ames Ave, Kansas, MO 64151 | 2016-06-23 |
| 1164701827 | Richard Alan Pelaar | Counselor | 5000 Nw Waukomis Drive, E, Kansas City, MO 64151 | 2011-08-12 |
| 1013238708 | Kodi Lee Watson | Dietitian, Registered | 8301 N St. Clair Ave, Kansas City, MO 64151 | 2010-06-16 |
| 1821296294 | Andy Mackey | Durable Medical Equipment & Medical Supplies | 5100 Nw Waukomis, Northmoor, MO 64151 | 2007-07-06 |
| 1629138185 | George Thomas Mcneish II | Dentist | 6500 Nw Tower Dr, 6500 Nw Tower Dr, Kansas City, MO 64151 | 2006-12-12 |
| 1649345091 | Comfort Plus Shoes & Footcare | Durable Medical Equipment & Medical Supplies | 8351 Nw Barrybrooke Drive, Kansas City, MO 64151 | 2006-11-21 |
| 1457456931 | Steve Bull Cain | Dentist | 7120 Nw Prairie View Rd, Kansas City, MO 64151 | 2006-09-13 |
| Find all providers in zip 64151 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912173592 | John O'connor Heiman | Oral & Maxillofacial Surgery | 4545 Wornall Rd, # 608, Kansas City, MO 64111-3270 | 2008-05-05 |
| 1285017806 | Marion Harris | Oral & Maxillofacial Surgery | 2301 Holmes St, Kansas City, MO 64108-2640 | 2015-06-30 |
| 1356683213 | Prime Healthcare Physician Services - Providence Inc | Oral & Maxillofacial Surgery | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2013-03-19 |
| 1699901868 | Thaer Daifallah | Oral & Maxillofacial Surgery | 2301 Holmes St, Kansas City, MO 64108-2640 | 2009-06-02 |
| 1669456257 | University Health Physicians | Oral & Maxillofacial Surgery | 2301 Holmes St, Kansas City, MO 64108 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609162189 | Rebecca Lindsay Grammer | Oral & Maxillofacial Surgery | 1034 S. Brentwood, Suite 1010, St. Louis, MO 63117-1210 | 2011-06-23 |
| 1659538973 | Michael J Pernoud Dds PC | Oral & Maxillofacial Surgery | 1015 Washington Sq Ste F, Washington, MO 63090-5307 | 2008-05-22 |
| 1730222647 | Matthew W Sheffer | Oral & Maxillofacial Surgery | 5227 S Main St Ste B, Joplin, MO 64804-4938 | 2007-02-14 |
| 1558415075 | Roberet L Ward | Oral & Maxillofacial Surgery | 1325 N Mt Auburn Rd, Cape Giraedeau, MO 63701 | 2007-01-22 |
| 1790849834 | Edward Steven Czebrinski | Oral & Maxillofacial Surgery | 77 Westport Plaza Medical Center, Suite 356, Saint Louis, MO 63146 | 2006-12-21 |
| 1063593838 | Eugenio G Herbosa | Oral & Maxillofacial Surgery | 12818 Tesson Ferry Road, Suite 204, St Louis, MO 63128 | 2006-10-18 |
| 1912019290 | David M Ivey Dds PC | Oral & Maxillofacial Surgery | One Mid Rivers Mall Dr, Ste 310, St Peters, MO 63376-4323 | 2006-08-31 |
| 1851618847 | Aosdi, Glenn J Makowski, Dmd, Md, PC | Oral & Maxillofacial Surgery | 2602 Cunningham Ave, Joplin, MO 64804-1542 | 2010-04-29 |
| 1578777280 | Kenneth S Rotskoff | Oral & Maxillofacial Surgery | 1034 S Brentwood Blvd, Suite 1010, Saint Louis, MO 63117-1223 | 2007-05-10 |
| 1457484222 | Michael K Parsons Dds PC | Oral & Maxillofacial Surgery | 1630 Market Center Blvd, Suite 102, O Fallon, MO 63368 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64151 |
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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.