DR. LARRY J. MOORE (NPI# 1992773022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992773022 |
| Entity Type | Individual |
| Full Name | DR. LARRY J. MOORE |
| Credential | D.D.S., M.S. |
| Practice Address |
4200 Chino Hills Pkwy #805 Chino Hills CA 91709-3776 |
| Practice Telephone | 9096060160 |
| Practice Fax Number | 9096064061 |
| Mailing Telephone | 9096060160 |
| Mailing Fax Number | 9096064061 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
29931 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811464522 | Larry Moore | Adult Companion | 620 N Church St Apt 1603, Charlotte, NC 28202-3299 | 2018-10-31 |
| 1396915211 | Larry Moore | Pharmacy Technician | 1060 Wood Stream Dr, Grand Prairie, TX 75052-8837 | 2008-03-06 |
| 1013517150 | Larry La Vaughn Moore | Technician | 1711 E Desert Inn Rd, Las Vegas, NV 89169-3201 | 2020-10-28 |
| 1730658196 | Larry Gene Moore | Case Manager/Care Coordinator | 735 North Dr, Hopkinsville, KY 42240-2620 | 2018-11-15 |
| 1558609032 | Larry Moore | Counselor | 1233 State Rd, Plymouth, MA 02360-5133 | 2013-01-18 |
| 1891899308 | Larry Eugene Moore | Nurse Anesthetist, Certified Registered | 230 Hospital Plaza, Weston, WV 26452-8558 | 2006-09-13 |
| 1326097494 | Larry Alan Moore | Emergency Medicine | 3205 N Academy Blvd, Suite 160, Colorado Springs, CO 80917-5101 | 2006-05-08 |
| 1770553174 | Larry C Moore | Internal Medicine | 5308 North Galloway Ave, Suite 100, Mesquite, TX 75150 | 2006-01-26 |
| Street Address |
4200 CHINO HILLS PKWY #805 |
| City | CHINO HILLS |
| State | CA |
| Zip Code | 91709-3776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539934 | Lori Jeanne Robertson | Nurse Practitioner | 4200 Chino Hills Pkwy, Ste 905, Chino Hills, CA 91709-3776 | 2005-06-27 |
| 1295286946 | Judy Ha | Pharmacist | 4200 Chino Hills Pkwy, Suite 500, Chino Hills, CA 91709-3776 | 2016-10-18 |
| 1902244049 | Jennifer Huang | Optometrist | 4200 Chino Hills Pkwy, Suite 390, Chino Hills, CA 91709-3776 | 2013-06-11 |
| 1457651747 | Sompong Anunta | Pharmacist | 4200 Chino Hills Pkwy, Chino Hills, CA 91709-3776 | 2010-11-02 |
| 1669772158 | Maria Bednar | Pharmacist | 4200 Chino Hills Pkwy, Chino Hills, CA 91709-3776 | 2010-10-29 |
| 1235443201 | Tuyet A Le | Pharmacist | 4200 Chino Hills Pkwy, Suite 500, Chino Hills, CA 91709-3776 | 2010-08-02 |
| 1265753370 | Nancy Kyu Chung | Pharmacist | 4200 Chino Hills Pkwy, Chino Hills, CA 91709-3776 | 2010-06-13 |
| 1881822278 | David S. Han, Dds, Inc. | Dentist | 4200 Chino Hills Pkwy, Ste-355, Chino Hills, CA 91709-3776 | 2009-06-24 |
| 1144488032 | Chino Hills Optometry Inc | Optometrist | 4200 Chino Hills Pkwy, Ste 390, Chino Hills, CA 91709-5825 | 2008-05-28 |
| 1790989614 | Daniel I. Lee, Inc. | Clinic/Center | 4200 Chino Hills Pkwy, Suite 880, Chino Hills, CA 91709-3776 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1164071684 | Julia Grienitz | Physician Assistant | 3110 Chino Ave Ste 150b, Chino Hills, CA 91709 | 2019-09-06 |
| 1063992014 | Bonifacio Coronel Fontanilla | Respiratory Therapist, Certified | 2363 Scenic Ridge Dr, Chino Hills, CA 91709 | 2018-08-20 |
| 1174023832 | William George Kyriakakos | Counselor | 3782 Daisy Dr, Chino Hills, CA 91709 | 2018-02-19 |
| 1538677604 | Qurban Dental Corproation | Dentist | 15850 Soquel Canyon Pkwy, Suite A, Chino Hills, CA 91709 | 2018-01-11 |
| 1184131831 | Jacqueline Davidson | Specialist/Technologist | 14255 Peyton Dr., Chino Hills, CA 91709 | 2018-01-03 |
| 1508384702 | Jessica Suwan | Nurse Practitioner | 15403 Aqueduct Lane, Chino Hills, CA 91709 | 2017-09-07 |
| 1750809240 | Livewell Therapy, Inc. | Counselor | 5861 Pine Ave., Chino Hills, CA 91709 | 2017-09-05 |
| 1982122776 | Corey Robert Tiller | Physician Assistant | 1737 Walnut Creek Drive, Chino Hills, CA 91709 | 2017-09-01 |
| Find all providers in zip 91709 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710392881 | Jennifer Dean | Dentist | 2340 Parkview Ln, Chino Hills, CA 91709-1767 | 2014-06-26 |
| 1811257280 | Nader Nasseri | Dentist | 4200 Chino Hills Pkwy Ste 805, Chino Hills, CA 91709-3785 | 2012-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
| 1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
| 1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
| 1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
| 1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
| Find all providers with the same taxonomy | ||||
| City | CHINO HILLS |
| Zip Code | 91709 |
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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.