DR. RANDALL MOORE (NPI# 1013386945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013386945 |
| Entity Type | Individual |
| Full Name | DR. RANDALL MOORE |
| Credential | DMD |
| Practice Address |
141 Milbank Ave Greenwich CT 06830-6616 |
| Practice Telephone | 2038693377 |
| Mailing Telephone | 2038693377 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
010308 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457421877 | Randall B. Moore | Chiropractor | 260 S 112th St, Lafayette, CO 80026-9031 | 2006-11-09 |
| 1740368067 | Randall Alan Moore | Pharmacist | The Nebraska Medical Center Clinic Pharmacy, 989200 Nebraska Medical Center, Omaha, NE 68198-9200 | 2006-11-02 |
| 1992780597 | Randall Jay Moore | Preventive Medicine | 366mdg/sgpf, 90 Hope Drive; Bldg 6000, Mountain Home Afb, ID 83648 | 2005-12-07 |
| 1790245496 | Randall Edward Moore | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2019-03-20 |
| 1376721621 | Randall James Moore | Pharmacist | 4405 Vandever Ave, 1st Fl Pharmacy, San Diego, CA 92120-3315 | 2008-02-07 |
| 1598894073 | Randall Chris Moore | Physical Therapist | 500 London Ave, Marysville, OH 43040-5512 | 2007-03-02 |
| 1669537304 | Randall R Moore | Pharmacist | 720 16th Ave, Lewiston, ID 83501-3768 | 2006-12-22 |
| 1841351285 | Randall Moore | Family Medicine | 6760 Mission Rd, Everson, WA 98247-9749 | 2006-12-12 |
| 1205927274 | Randall B Moore | Surgery | 3791 Katella Ave, #201, Los Alamitos, CA 90720 | 2006-09-27 |
| 1245291228 | Randall F. Moore | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-30 |
| Street Address |
141 MILBANK AVE |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830-6616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568665305 | Albert James Repicci | Dentist | 141 Milbank Ave, Greenwich, CT 06830-6616 | 2007-06-08 |
| 1144528134 | Randall A. Moore, Dmd,pc | Dentist | 141 Milbank Ave, Greenwich, CT 06830-6616 | 2011-03-01 |
| 1700113974 | Kelly Repicci | Counselor | 141 Milbank Ave, Greenwich, CT 06830-6616 | 2009-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303341 | Cristina Castagna | Physical Therapist | 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 | 2020-10-16 |
| 1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
| 1245866433 | Barbara Edeson Roth | Speech-Language Pathologist | The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 | 2020-03-19 |
| 1750938932 | Evelyn Ramos | Licensed Practical Nurse | 111 Wilbur Peck Ct, Greenwich, CT 06830 | 2019-08-21 |
| 1134773674 | Alexandra Blair Conway | Psychologist | 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 | 2019-08-01 |
| 1821560871 | Brionna Emily Lyles | Licensed Practical Nurse | 111 Wilbur Court, Greenwich, CT 06830 | 2018-12-31 |
| 1568959815 | Backcountry Wellness Inc. | Social Worker | 7 Lincoln Avenue, Greenwich, CT 06830 | 2018-04-21 |
| 1316455876 | Hillary Rea Bercovici | Counselor | 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 | 2018-01-18 |
| 1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
| 1952853814 | Tina M. Crystal | Psychologist | 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 | 2016-10-26 |
| Find all providers in zip 06830 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568665305 | Albert James Repicci | Dentist | 141 Milbank Ave, Greenwich, CT 06830-6616 | 2007-06-08 |
| 1427279264 | Robert Sharpe Dustin Jr. | Dentist | 90 Dearfield Dr, Greenwich, CT 06831-5349 | 2007-05-01 |
| 1326542408 | Rosemary Ryan | Dentist | 4 Dearfield Dr, Greenwich, CT 06831-5351 | 2018-03-22 |
| 1295024040 | Rosemary Ryan, D.d.s., L.L.C. | Dentist | 4 Dearfield Dr, Greenwich, CT 06831-5351 | 2011-04-01 |
| 1144528134 | Randall A. Moore, Dmd,pc | Dentist | 141 Milbank Ave, Greenwich, CT 06830-6616 | 2011-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894831 | Chia-hua Pai | Dentist | 10 Mott Ave Ste 3c, Norwalk, CT 06850-3320 | 2020-09-04 |
| 1699307819 | Michael Fogge | Dentist | 1527 Route 12 Ste 2, Gales Ferry, CT 06335-1800 | 2020-02-05 |
| 1033752613 | Gregory Augustus Mckenna | Dentist | 131 Deer Hill Ave, Danbury, CT 06810-7783 | 2019-10-25 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1700379765 | Emily Ding | Dentist | 241 Monroe Tpke, Monroe, CT 06468 | 2018-06-13 |
| 1568978476 | Modern Orthodontics LLC | Dentist | 1095 West St Ste 2, Southington, CT 06489-1023 | 2017-12-15 |
| 1568991636 | Bibko Orthodontics LLC | Dentist | 346 Main Ave Ste D, Norwalk, CT 06851-1591 | 2017-06-12 |
| 1114467164 | Consolidated Orthodontic Services, LLC | Dentist | 3 Silver Brook Ln, Torrington, CT 06790-7814 | 2017-02-23 |
| 1922544543 | Raptis Orthodontics | Dentist | 670 East Rd, Bristol, CT 06010-6845 | 2017-01-07 |
| 1538604178 | Donald C Demas, Dds, Ms, PC | Dentist | 51 Depot St Ste 505, Watertown, CT 06795-2685 | 2017-01-05 |
| Find all providers with the same taxonomy | ||||
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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.