DR. STEPHEN PHILLIP MOORE (NPI# 1376519439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376519439 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN PHILLIP MOORE |
| Credential | D.D.S. |
| Practice Address |
356 N Rock Rd Wichita KS 67206-2200 |
| Practice Telephone | 3166813228 |
| Mailing Telephone | 3166813228 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5156 | KS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578924684 | Stephen Moore | Registered Nurse | 3545 Se Long St, Portland, OR 97202-3342 | 2016-03-16 |
| 1417371618 | Stephen Albert Moore | Case Manager/Care Coordinator | 214 Vagabond Ct, Alamo, CA 94507-2804 | 2014-02-07 |
| 1124367750 | Stephen Henry Moore | Internal Medicine | 2300 Vernon Cir, Hopkins, MN 55305-3053 | 2013-02-01 |
| 1073815882 | Stephen G Moore | Specialist | 2749 E Covenanter Dr, Bloomington, IN 47401-5454 | 2010-11-30 |
| 1669580122 | Stephen Howard Moore | Dentist | 939 Portage Trl, Cuyahoga Falls, OH 44221-3045 | 2006-08-26 |
| 1649384793 | Stephen Alan Moore | Ophthalmology | 140 West Ave, Gt Barrington, MA 01230 | 2006-08-18 |
| 1053335216 | Stephen William Moore | Dentist | 3 Long Leaf Office Park, Moultrie, GA 31768-6781 | 2006-07-27 |
| 1407875727 | Stephen David Moore | Dentist | 8409 W Lake Mead Blvd, Las Vegas, NV 89128-7638 | 2006-07-18 |
| 1083681076 | Stephen R Moore | Internal Medicine | 1040 Summitt Sq, Middletown, OH 45042-3400 | 2006-03-08 |
| 1184614513 | Stephen Daniel Moore | Pharmacist | 11919 W Sprague Ave, Airway Heights, WA 99001-1899 | 2005-10-26 |
| Street Address |
356 N ROCK RD |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972046605 | Lora D Cruse | Hearing Instrument Specialist | 356 N Rock Rd, Suite B, Wichita, KS 67206-2282 | 2016-11-29 |
| 1881003374 | L & M Solutions LLC | Hearing Instrument Specialist | 356 N Rock Rd, Ste B, Wichita, KS 67206-2282 | 2014-08-08 |
| 1811026115 | David James Brown II | Dentist | 356 N Rock Rd, Wichita, KS 67206-2200 | 2007-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| 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 |
|---|---|---|---|---|
| 1093911513 | Matthew Healy | Dentist | 3933 N. Maize Rd, Ml 2006, Wichita, KS 67205-3039 | 2007-06-22 |
| 1245370345 | Kidspace Pediatric Dentistry,p.a | Dentist | 430 N Woodlawn St Ste 1, Wichita, KS 67208-4334 | 2007-02-07 |
| 1619983681 | Crystal Rachelle Walker | Dentist | 6943 W 37th St N, Wichita, KS 67205-9302 | 2006-07-31 |
| 1205891355 | Hoanh Ba Le | Dentist | 430 N Woodlawn St, Wichita, KS 67208-4300 | 2006-04-20 |
| 1578553285 | Michael Francis Iseman | Dentist | 1230 N Broadmoor Ave, Suite 400, Wichita, KS 67206-3891 | 2005-10-24 |
| 1679041644 | Tiny Teeth Pediatric Dentistry, LLC | Dentist | 3933 N. Maize Rd, Suite 200, Wichita, KS 67205-6710 | 2018-11-08 |
| 1295071231 | Childrens Dentistry of Wichita | Dentist | 2143 N Collective Ln, Suite B, Wichita, KS 67206-3504 | 2012-12-19 |
| 1811266042 | Children's Dental Professionals | Dentist | 6943 W 37th St N, Wichita, KS 67205-9302 | 2011-12-16 |
| 1013193028 | Crystal Walker, Dds, Pa | Dentist | 6943 W 37th St N, Wichita, KS 67205-9302 | 2008-01-21 |
| 1811026115 | David James Brown II | Dentist | 356 N Rock Rd, Wichita, KS 67206-2200 | 2007-03-04 |
| Find all providers in WICHITA | ||||
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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.