DR. KRYSTE AVERY-MOORE (NPI# 1588787782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588787782 |
| Entity Type | Individual |
| Full Name | DR. KRYSTE AVERY-MOORE |
| Practice Address |
110 William St Room 111 Newark NJ 07102-1304 |
| Practice Telephone | 9737337590 |
| Mailing Telephone | 9737337590 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2013-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI101843100 | NJ | Dental Providers |
| Street Address |
110 WILLIAM ST ROOM 111 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497779680 | Isabel Gonzalez | Pediatrics | 110 William St, Newark, NJ 07102-1304 | 2006-07-27 |
| 1518407873 | Kayla Guido | Dental Hygienist | 110 William St, Newark, NJ 07102-1304 | 2017-03-06 |
| 1720539620 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2016-10-17 |
| 1851757645 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2016-01-08 |
| 1427467034 | City of Newark | Public Health or Welfare | 110 William St, Newark, NJ 07102-1304 | 2014-08-07 |
| 1548678303 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2014-07-24 |
| 1568883346 | Nekisha D Balfour | Nurse Practitioner | 110 William St, Newark, NJ 07102-1304 | 2013-12-23 |
| 1306182761 | Joanne So | Nurse Practitioner | 110 William St, Newark, NJ 07102-1304 | 2012-12-12 |
| 1003181553 | City of Newark Dept of Child and Family Well Being Mobile Medical Van | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2012-03-16 |
| 1316130164 | Vincent Davidson Carrington | Dentist | 110 William St, Newark, NJ 07102-1304 | 2007-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
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|---|---|---|---|---|
| 1275179897 | Pain & Sleep Therapy Center | Dentist | 620 Churchmans Rd Ste 203, Newark, DE 19702-1945 | 2019-11-19 |
| 1699275594 | Ivy Hill Dental Center | Dentist | 679 Irvington Ave, Newark, NJ 07106-3306 | 2018-02-16 |
| 1164970943 | Ann Simmons | Dentist | 571 N 6th St Fl 1, Newark, NJ 07107-2501 | 2016-09-21 |
| 1700330107 | Minesh Patel Dds LLC | Dentist | 404 S 30th St, Newark, OH 43055-1238 | 2016-08-15 |
| 1285009357 | Chestnut Hill Smiles, LLC | Dentist | 139 E Chestnut Hill Rd, Newark, DE 19713-4043 | 2015-12-01 |
| 1720469927 | Ramanpreet S Nanra | Dentist | 6215 Market Ave, Newark, CA 94560-4033 | 2015-06-12 |
| 1598158966 | All State Dental LLC | Dentist | 546 Bloomfield Ave, Newark, NJ 07107-1338 | 2015-03-10 |
| 1760883979 | Rustam Zakiyev | Dentist | 114 Gotthardt St, Newark, NJ 07105-3104 | 2014-09-07 |
| 1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
| 1043630197 | Mark Kogan | Dentist | 110 Bergen St Rm B-854, Newark, NJ 07103-2495 | 2014-04-16 |
| Find all providers in NEWARK | ||||
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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.