DR. JACK LOWELL MOORE (NPI# 1982890331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982890331 |
Entity Type | Individual |
Full Name | DR. JACK LOWELL MOORE |
Credential | DDS |
Practice Address |
700 Sunrise Avenue Suite C Roseville CA 95661-4561 |
Practice Telephone | 9167821209 |
Practice Fax Number | 9167821770 |
Mailing Telephone | 9167821209 |
Mailing Fax Number | 9167821770 |
Enumeration Date | 2007-09-19 |
Last Update Date | 2007-09-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
17346 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891063236 | Jack Moore | Optometrist | 3700 Martin Way E, #101, Olympia, WA 98506-5052 | 2011-12-13 |
1568470011 | Jack L Moore | Nurse Practitioner | 777 Bannock St, Mc 7782, Denver, CO 80204-4507 | 2006-08-03 |
1164443529 | Jack C Moore II | Family Medicine | 175 S English Station Rd Ste 226, Louisville, KY 40245 | 2006-07-21 |
1235170812 | Jack W Moore | Orthopaedic Surgery | 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | 2006-06-08 |
1104876606 | Jack D Moore | Specialist | 4321 Washington St, 5300, Kansas City, MO 64111-5961 | 2006-05-12 |
1467426221 | Jack Moore | Specialist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2006-02-16 |
Street Address |
700 SUNRISE AVENUE SUITE C |
City | ROSEVILLE |
State | CA |
Zip Code | 95661-4561 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
Find all providers in zip 95661 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447884069 | Jocelyn M. Robelli Dds, Ms, Pllc | Dentist | 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 | 2020-02-24 |
1205113859 | Richard Knight | Dentist | 2520 Douglas Blvd Ste 130, Roseville, CA 95661-3993 | 2011-11-10 |
1780750539 | Dental Specialists of Minnesota, Pllc | Dentist | 1835 County Road C-west, Suite 200, Roseville, MN 55113-1343 | 2006-11-24 |
1366448524 | Linda Patricia Rafferty | Dentist | 2520 Douglas Blvd, Ste 130, Roseville, CA 95661-3993 | 2005-06-22 |
1295347805 | Kerri S. Gustafson, Dds, Pllc, Dentistry for Children | Dentist | 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 | 2020-08-17 |
1033639463 | Crutchfield Pediatric Dental Group | Dentist | 1253 Pleasant Grove Blvd Ste 190, Roseville, CA 95678-6983 | 2017-06-27 |
1336696426 | Dmitriy Pivnik Dds Inc | Dentist | 721 Pleasant Grove Blvd Ste 150, Roseville, CA 95678-6181 | 2016-09-06 |
1275991721 | Dmitriy Pivnik | Dentist | 721 Pleasant Grove Blvd Ste 150, Roseville, CA 95678-6181 | 2016-01-29 |
1760710834 | Cassandra Krupansky | Dentist | 2520 Douglas Blvd, Suite 130, Roseville, CA 95661-3992 | 2009-11-30 |
1326242348 | Kathryn Ann Moore | Dentist | 700 Sunrise Ave, #c, Roseville, CA 95661 | 2007-06-13 |
Find all providers in ROSEVILLE |
Please comment or provide details below to improve the information on DR. JACK LOWELL MOORE.
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.