JAMIE ROGER MOORE (NPI# 1770668014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770668014 |
| Entity Type | Individual |
| Full Name | JAMIE ROGER MOORE |
| Credential | DDS |
| Practice Address |
465 Medical Center Pkwy Clinton AR 72031-7946 |
| Mailing Address |
Po Box 1060 Marshall AR 72650-1060 |
| Practice Telephone | 5017458811 |
| Practice Fax Number | 5017455042 |
| Mailing Telephone | 8704485101 |
| Mailing Fax Number | 8704483767 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2900 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 159632608 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059156 | Jamie Leigh Moore | Nurse Practitioner | 6345 County Road 19, Section, AL 35771-7860 | 2020-09-25 |
| 1730661588 | Jamie Marie Moore | Occupational Therapist | 9133 Ambergrove Dr, Howell, MI 48843-6108 | 2018-08-29 |
| 1992161871 | Jamie Moore | Physical Therapy Assistant | 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003-4823 | 2016-01-08 |
| 1093028185 | Jamie L Moore | Case Manager/Care Coordinator | 500 Creekside Dr Ste 507, Pottstown, PA 19464-9217 | 2010-07-19 |
| 1578746079 | Jamie Moore | Physician Assistant | 2 Medical Center Drive Suite 503, Springfield, MA 01199-0001 | 2007-12-07 |
| 1720271315 | Jamie Moore | Registered Nurse | 1001 Potrero Ave Gk 1, San Francisco General Hospital, San Francisco, CA 94110 | 2007-08-27 |
| 1801419528 | Jamie Rachel Moore | Registered Nurse | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-05-28 |
| 1952962664 | Jamie L Moore | Registered Nurse | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2019-06-24 |
| 1255808655 | Jamie Leigh Moore | Nurse Practitioner | 14310 E 42nd St S Ste 600, Independence, MO 64055-7308 | 2018-10-24 |
| 1033621578 | Jamie L Moore | Case Manager/Care Coordinator | 103 Commercial St, Brockton, MA 02302-3101 | 2017-10-24 |
| Street Address |
465 MEDICAL CENTER PKWY |
| City | CLINTON |
| State | AR |
| Zip Code | 72031-7946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071595 | Jesse Blake Kitchens | Dentist | 465 Medical Center Pkwy, Clinton, AR 72031-7946 | 2020-07-27 |
| 1922625706 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 465 Medical Center Pkwy, Clinton, AR 72031-7946 | 2020-06-29 |
| 1063954139 | Abu Faisal Mohammad Hasme | Dentist | 465 Medical Center Pkwy, Clinton, AR 72031-7946 | 2016-11-07 |
| 1871774075 | David Geidl | Family Medicine | 465 Medical Center Pkwy, Clinton, AR 72031 | 2007-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
| 1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
| 1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
| 1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| 1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
| Find all providers in zip 72031 | ||||
| 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 |
|---|---|---|---|---|
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1508386616 | Blaire Alford | Dentist | 380 Highway 80 E Ste A, Clinton, MS 39056-4748 | 2017-06-21 |
| 1811427677 | Total You Family Dentistry | Dentist | 9135 Piscataway Rd Ste 105, Clinton, MD 20735-2548 | 2017-06-14 |
| 1114386802 | Christopher A Fallago | Dentist | 8 E Main St Ste 202, Clinton, CT 06413-2058 | 2016-02-23 |
| 1245636174 | Rick Canty | Dentist | 201a S Washington St, Clinton, KY 42031-1440 | 2014-11-04 |
| 1962830349 | Drs. Roh, Park and Hwang, LLC | Dentist | 7700 Old Branch Ave Ste E102, Clinton, MD 20735-1628 | 2013-10-23 |
| 1912243247 | Clinton Dental Group, LLP | Dentist | 1737 North 2000 West, Suite G, Clinton, UT 84015 | 2012-12-13 |
| 1346504230 | Paul N Singh | Dentist | 8913 Woodyard Rd, Clinton, MD 20735-4257 | 2012-06-26 |
| 1497040489 | Beautiful Smiles, L.L.C. | Dentist | 9001 Stuart Ln, Clinton, MD 20735-2744 | 2011-06-17 |
| Find all providers in CLINTON | ||||
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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.