DR. MELVIN GREGORY MOORE (NPI# 1891866893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891866893 |
| Entity Type | Individual |
| Full Name | DR. MELVIN GREGORY MOORE |
| Credential | D.D.S. |
| Practice Address |
4723 N Roan St Johnson City TN 37615-3886 |
| Practice Telephone | 4232830511 |
| Practice Fax Number | 4232830899 |
| Mailing Telephone | 4232830511 |
| Mailing Fax Number | 4232830899 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7175 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659495240 | Melvin Medero Moore Jr. | Psychologist | 17649 Crabapple Way, Carson, CA 90746-7461 | 2007-03-19 |
| 1871571562 | Melvin R Moore | Internal Medicine | 2712 Lawrenceville Hwy, Decatur, GA 30033-2512 | 2006-01-04 |
| Street Address |
4723 N ROAN ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37615-3886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1700018603 | Anna Lynne Deal | Nurse Practitioner | 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 | 2009-08-11 |
| 1285876631 | Leigh A Furman | Occupational Therapist | 253 Wiltshire Dr., Gray, TN 37615 | 2009-04-01 |
| 1811098908 | Fay Lynn Bembry | Nurse Practitioner | 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 | 2006-09-25 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1568402048 | Joseph Vincent Pinyard Jr. | Family Medicine | 880 Boones Station Rd, Johnson City, TN 37615 | 2006-06-07 |
| 1548223084 | Pitchar Theerathorn | Internal Medicine | 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 | 2006-04-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| Find all providers in zip 37615 | ||||
| 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 |
|---|---|---|---|---|
| 1558988352 | Oral Sleep Devices Pllc | Dentist | 110 Corporate Dr Ste 140, Johnson City, TN 37604-2008 | 2020-06-29 |
| 1386120061 | Adam Major | Dentist | 520 W Oakland Ave Ste 6, Johnson City, TN 37604-1654 | 2018-07-16 |
| 1689056624 | Johnson City Dental | Dentist | 1720 W. Market St., Johnson City, TN 37604-6021 | 2015-06-26 |
| 1770893760 | Nilam Tulsidas Patel | Dentist | 502 Princeton Rd Ste B, Johnson City, TN 37601-2047 | 2010-10-08 |
| 1255642906 | Rhiannon Mariah Miller | Dentist | 1303 Carroll Creek Rd, Suite 120, Johnson City, TN 37615-4674 | 2010-06-28 |
| 1205150877 | James Gilbert Holt | Dentist | 111 W. Fairview Ave, Johnson City, TN 37604-5632 | 2010-03-25 |
| 1538315460 | Mark D Damron | Dentist | 2800 Peoples St Ste 90, Johnson City, TN 37604-4158 | 2008-08-12 |
| 1356556229 | Diane Downton | Dentist | 281 Riverside Dr, Johnson City, NY 13790-2726 | 2007-05-13 |
| 1518181577 | William J Kucko | Dentist | 226 Oakdale Rd, Johnson City, NY 13790-1127 | 2007-04-12 |
| 1154450294 | Milton Keith Ellis | Dentist | 2806 W Market St, Johnson City, TN 37604-5166 | 2007-03-05 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37615 |
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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.