DR. MICHAEL DAVID MOORE (NPI# 1619040128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619040128 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DAVID MOORE |
| Credential | DDS |
| Practice Address |
9727 Elk Grove Florin Rd Suite 115 Elk Grove CA 95624-2264 |
| Practice Telephone | 9166868540 |
| Practice Fax Number | 8016404766 |
| Mailing Telephone | 9166868540 |
| Mailing Fax Number | 8016404766 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 5554 | OR | Dental Providers |
| N | 122300000X | Dentist | 5598 | WA | Dental Providers |
| Y | 122300000X | Dentist | 28475 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115582 | Michael Shane Moore | Physical Medicine & Rehabilitation | 2757 Vandy Ct, Montgomery, AL 36110-1339 | 2020-08-17 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1508327537 | Michael D Moore | Nurse Practitioner | 1012 Center Dr, Richmond, KY 40475-3838 | 2019-03-31 |
| 1407393846 | Michael Charles Moore | Counselor | 2123 W 77th St, Los Angeles, CA 90047-2312 | 2017-01-24 |
| 1356884852 | Michael Lemuel Moore II | Counselor | 665 Rotunda Way, Brentwood, CA 94513-5534 | 2016-12-01 |
| 1154778355 | Michael Moore | Pharmacist | 10604 Hinderhill Dr, Bakersfield, CA 93312-7038 | 2016-05-17 |
| 1750747564 | Michael Moore | Developmental Therapist | 220 Pebble Creek Rd, Powell, WY 82435-2271 | 2016-01-08 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1558742734 | Michael B Moore | Nurse Practitioner | 3040 College St, Beaumont, TX 77701-4606 | 2015-06-14 |
| 1033517578 | Michael D. Moore | Hearing Instrument Specialist | 11834 County Road 101, Suite 202, The Villages, FL 32162 | 2014-12-16 |
| Street Address |
9727 ELK GROVE FLORIN RD SUITE 115 |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624-2264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820950 | Michael Wang | Optometrist | 9727 Elk Grove Florin Rd, #190, Elk Grove, CA 95624-2264 | 2005-06-09 |
| 1073051181 | Theodore Javelosa Celeste | Massage Therapist | 9727 Elk Grove Florin Rd, Suite 290, Elk Grove, CA 95624-2264 | 2017-02-09 |
| 1508276460 | Matthew August Sandretti | Dentist | 9727 Elk Grove Florin Rd, Elk Grove, CA 95624-2264 | 2014-04-30 |
| 1578991832 | Jason Sazama | Specialist/Technologist, Other | 9727 Elk Grove Florin Rd, Suite 160, Elk Grove, CA 95624-2264 | 2013-10-24 |
| 1669800116 | Axg Sleep Diagnostics LLC | Clinic/Center | 9727 Elk Grove Florin Rd, Suite 160, Elk Grove, CA 95624-2264 | 2013-10-20 |
| 1407183593 | El Hadi Mouderres Md Inc | Psychiatry & Neurology | 9727 Elk Grove Florin Rd, Suite 120, Elk Grove, CA 95624-2291 | 2009-11-10 |
| 1972656767 | Donald Paul Rollofson | Dentist | 9727 Elk Grove Florin Rd, 280, Elk Grove, CA 95624-2264 | 2007-01-18 |
| 1235280793 | Allan R Au Md Inc | Allergy & Immunology | 9727 Elk Grove Florin Rd, Suite 180, Elk Grove, CA 95624-2264 | 2007-01-12 |
| 1770653404 | Roger J. Reich D.d.s. Inc. | Dentist | 9727 Elk Grove Florin Rd, Suite 270, Elk Grove, CA 95624-2264 | 2006-11-09 |
| 1962599118 | Elk Grove Family Physicians Medical Group Inc | Family Medicine | 9727 Elk Grove Florin Rd, Ste. 140, Elk Grove, CA 95624-2264 | 2006-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
| Find all providers in zip 95624 | ||||
| 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 |
|---|---|---|---|---|
| 1932719036 | Apeksha Sanghvi | Dentist | 2733 Elk Grove Blvd Ste 180, Elk Grove, CA 95758-7168 | 2020-08-04 |
| 1952891673 | S.y.y Jang Dds Corp | Dentist | 9585 Laguna Springs Dr Ste 120c, Elk Grove, CA 95758-7974 | 2018-05-17 |
| 1447603600 | Pritpal Gill | Dentist | 10044 Bruceville Rd Ste 100, Elk Grove, CA 95757-9504 | 2016-07-22 |
| 1639522428 | Farah Yasmeen | Dentist | 9327 Laguna Springs Dr Ste 110, Elk Grove, CA 95758-7832 | 2016-07-18 |
| 1548645591 | Binson Thomas | Dentist | 9640 Bruceville Rd Ste 101, Elk Grove, CA 95757-5937 | 2015-07-20 |
| 1841693371 | V.s.grewal,dmd Professional Dental Corp | Dentist | 9571 Laguna Springs Dr # 100, Elk Grove, CA 95758-7961 | 2014-09-29 |
| 1740615681 | Michael Chu | Dentist | 9180 Harbour Point Dr Ste 101, Elk Grove, CA 95758-7160 | 2013-09-11 |
| 1912332016 | Shelly Milera, Dds, Inc | Dentist | 9230 Bruceville Rd Ste 3, Elk Grove, CA 95758-5996 | 2013-09-08 |
| 1649610536 | Devan Dalla | Dentist | 2733 Elk Grove Blvd, Suite 180, Elk Grove, CA 95758-7165 | 2013-06-25 |
| 1457790586 | Sharon Agsao Manaois | Dentist | 7915 Laguna Blvd Ste 150, Elk Grove, CA 95758 | 2013-06-21 |
| Find all providers in ELK GROVE | ||||
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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.