DR. KELLEY NEWMAN MOORE (NPI# 1598958647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598958647 |
| Entity Type | Individual |
| Full Name | DR. KELLEY NEWMAN MOORE |
| Credential | D.D.S. |
| Practice Address |
1 Orange Ave Rockledge FL 32955-2945 |
| Practice Telephone | 3216322020 |
| Mailing Telephone | 3216322020 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN15054 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740326289 | Kelley K. Moore | Psychiatry & Neurology | 4851 Independence St., 70 Executive Center, Wheat Ridge, CO 80033-6715 | 2007-01-30 |
| 1871084335 | Kelley Moore | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103-3324 | 2018-05-21 |
| 1417313784 | Kelley Nicole Moore | Pharmacist | 3745 Louisiana Ave S, St Louis Park, MN 55426-4361 | 2016-01-02 |
| 1679823538 | Kelley Michelle Moore | Case Manager/Care Coordinator | 1911 Williams Dr, Oxnard, CA 93036-2612 | 2012-09-18 |
| 1205026531 | Kelley Rene Moore | Case Manager/Care Coordinator | 4425 Jefferson Ave, Suite 106, Texarkana, AR 71854-1535 | 2007-08-01 |
| 1639165343 | Kelley C Moore | Nurse Anesthetist, Certified Registered | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2005-09-27 |
| Street Address |
1 ORANGE AVE |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551609 | Marianna Zadov, P.a | Dentist | 1027 Pathfinder Way Ste 100, Rockledge, FL 32955-3267 | 2020-09-03 |
| 1437671260 | Martha Macy Brown | Dentist | 5364 Stadium Parkway, Rockledge, FL 32955 | 2017-07-13 |
| 1225573066 | Smile Viera | Dentist | 5455 Murrell Rd Ste 108, Rockledge, FL 32955-6615 | 2017-01-04 |
| 1972048874 | Smile Design Center | Dentist | 5445 Village Dr Ste 100, Rockledge, FL 32955-6666 | 2016-12-31 |
| 1093121139 | Akmal Ahmed | Dentist | 1950 Rockledge Blvd Ste 207, Rockledge, FL 32955-3763 | 2014-07-09 |
| 1023454790 | Kathleen Patricia O'connor | Dentist | 610 Barnes Blvd, Rockledge, FL 32955-5210 | 2013-05-21 |
| 1093151474 | Ronald Kohlbrand | Dentist | 980 Highway 1, Ronald Kohlbrand Dds, Rockledge, FL 32955-2128 | 2013-05-13 |
| 1295056299 | Lauren Scarborough Price | Dentist | 3819 Murrell Rd Ste G, Rockledge, FL 32955 | 2010-06-14 |
| 1578797973 | Robert Wilkoff | Dentist | 2 S Sylvania Ave, Rockledge, PA 19046-4417 | 2009-05-13 |
| 1902921190 | Paul M Reuter | Dentist | 406 A Huntingdon Pike, Rockledge, PA 19046-4448 | 2007-03-20 |
| Find all providers in ROCKLEDGE | ||||
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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.