RICHARD WALLACE MOORE (NPI# 1487701942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487701942 |
| Entity Type | Individual |
| Full Name | RICHARD WALLACE MOORE |
| Credential | DDS |
| Practice Address |
10220 Sw Greenburg Road Suite 150 Tigard OR 97223-5529 |
| Practice Telephone | 5032551200 |
| Practice Fax Number | 5034086856 |
| Mailing Telephone | 5032551200 |
| Mailing Fax Number | 5034086856 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2011-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D5689 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518494657 | Richard Moore I | Dentist | 2455 Cypress Village Dr, Benton, LA 71006-9119 | 2017-05-19 |
| 1902206733 | Richard Moore | Counselor | 1701 Walkus Ct, District Heights, MD 20747-1892 | 2014-08-29 |
| 1467722777 | Richard Moore | Internal Medicine | 7642 Forsyth Blvd, Clayton, MO 63105-3404 | 2012-01-03 |
| 1902192503 | Richard Anthony Moore II | Family Medicine | 3708 Mayfair St Ste 100, Durham, NC 27707-6223 | 2011-06-22 |
| 1497049704 | Richard Winfield Moore IIi | Pharmacist | 41800 Washington St Ste 113b, Bermuda Dunes, CA 92203-8153 | 2011-06-03 |
| 1023241015 | Richard Moore | Surgery | 333 City Blvd. West - Suite 705, Orange, CA 92868-3298 | 2009-08-25 |
| 1295966000 | Richard H. Moore I | Preventive Medicine | 123 S Park Dr, Brownwood, TX 76801-5917 | 2009-07-29 |
| 1386890572 | Richard L Moore | Dermatology | 6901 Medical View Lane, Zephyrhills, FL 33542-6648 | 2008-08-07 |
| 1588876247 | Richard Eugene Moore Jr. | Physical Therapist | 4416 Ivy Commons, Charlottesville, VA 22903-7123 | 2007-05-04 |
| 1457481343 | Richard Charles Moore | Family Medicine | 309 East Spruce, Hailey, ID 83333-3530 | 2007-03-07 |
| Street Address |
10220 SW GREENBURG ROAD SUITE 150 |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326317355 | Sleep Medicine Group LLC | Family Medicine | 10220 Sw Greenburg Road, Suite 150, Tigard, OR 97223-5529 | 2011-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093138893 | Oregon Mobile Dentistry, P.C. | Dentist | 11820 Sw King James Pl Ste 10j, Tigard, OR 97224-2481 | 2014-01-29 |
| 1962834861 | Gena Vinsky | Dentist | 9270 Sw Mandamus Court, Tigard, OR 97223 | 2013-08-01 |
| 1740553106 | Bridgeport Family Dental, LLC | Dentist | 7420 Sw Bridgeport Rd Ste 104, Tigard, OR 97224-7790 | 2012-02-15 |
| 1962784090 | Sheeva Azimi | Dentist | 9225 Sw Hall Blvd Ste E, Tigard, OR 97223-6794 | 2011-09-14 |
| 1174657217 | Dimitrios J. Vareldzis Dds, PC | Dentist | 15885 Sw 116th Ave, Tigard, OR 97224-2647 | 2007-03-14 |
| 1871602417 | Mahmoud Maghsoudlou | Dentist | 7095 Sw Gonzaga St, Tigard, OR 97223-8309 | 2006-08-29 |
| 1194839407 | Terry Walter Tarrant | Dentist | 12290 Sw Main Street, Suite 3a, Tigard, OR 97223 | 2006-08-17 |
| 1134143076 | Rod Johnson | Dentist | 11815 Sw King James Pl Ste 10, Tigard, OR 97224-2479 | 2006-07-26 |
| 1396766036 | Scott T Simpson | Dentist | 16035 Sw Pacific Hwy, Tigard, OR 97224-3438 | 2006-07-21 |
| 1053818625 | Dean Roy Gretzinger | Dentist | 7095 Sw Gonzaga St, Tigard, OR 97223 | 2018-04-10 |
| Find all providers in TIGARD | ||||
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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.