DR. BRIAN DUANE MOORE (NPI# 1548473226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548473226 |
| Entity Type | Individual |
| Full Name | DR. BRIAN DUANE MOORE |
| Credential | D.D.S. |
| Practice Address |
7156 Stenton Ave Philadelphia PA 19150-3428 |
| Mailing Address |
Po Box 27539 Philadelphia PA 19118-0539 |
| Practice Telephone | 2152425797 |
| Practice Fax Number | 2152421171 |
| Mailing Telephone | 2152425797 |
| Mailing Fax Number | 2152421171 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| 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 |
DS026705L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160810 | Brian Chadwick Moore | Technician | 1227 Blue Slide Rd, Thompson Falls, MT 59873-9470 | 2020-09-29 |
| 1790102226 | Brian Archie Moore | Physical Therapist | 4413 61st St, Lubbock, TX 79414-4520 | 2014-03-21 |
| 1225336316 | Brian Thomas Moore | Pharmacist | 602 Bacons Bridge Rd, Summerville, SC 29485-4102 | 2011-03-14 |
| 1033236591 | Brian Alan Moore | Social Worker | 1001 W 10th St # Bu1, Midtown Cmhc, Indianapolis, IN 46202-2859 | 2007-03-22 |
| 1952480063 | Brian Joseph Moore | Internal Medicine | 1201 Mount Kemble Ave, Morristown, NJ 07960-6628 | 2006-11-02 |
| 1487743696 | Brian Franklin Moore | Prosthetist | 172 Commercial Sq, Slidell, LA 70461-5418 | 2006-10-12 |
| 1144237108 | Brian Moore | Anesthesiology | 8504 Osuna Rd Ne, Albuquerque, NM 87111-2148 | 2006-08-02 |
| 1013961804 | Brian Lee Moore | Nurse Anesthetist, Certified Registered | 6615 Briarwood Cir, Wichita, KS 67212-2986 | 2006-05-19 |
| 1790749539 | Brian Keith Moore | Specialist/Technologist | 4653 Clairton Blvd, Pittsburgh, PA 15236-2149 | 2006-04-17 |
| 1871554527 | Brian Harold Moore | Specialist | 813 W 2nd St, Bloomington, IN 47403-2212 | 2006-03-31 |
| Street Address |
7156 STENTON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19150-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821589615 | Covenant House, Inc | Clinic/Center | 2385 W Cheltenham Ave., Philadelphia, PA 19150 | 2018-05-29 |
| 1326553074 | Prime Health Pharmacy LLC | Pharmacy | 1514 Wadsworth Ave, Philadelphia, PA 19150 | 2017-12-04 |
| 1609319797 | Ivy Hill Rehab Center LLC | Skilled Nursing Facility | 140 Ivy Hill Road, Wyndmoor, PA 19150 | 2016-11-22 |
| 1831563857 | Kutest Kids | Early Intervention Provider Agency | 7811 Cedarbrook Avenue, Philadelphia, PA 19150 | 2015-11-16 |
| 1487044020 | Stefanie Black | Pharmacy Technician | 2527 Target Pharmacy, Philadelphia, PA 19150 | 2015-02-04 |
| 1003206590 | Fatima Jackson | Pharmacy Technician | 2527 Shoppers Lane, Cheltenham Square Mall, Philadelphia, PA 19150 | 2015-02-04 |
| 1215351762 | Hilltop Medical Associates, PC | General Practice | 2350 W. Cheltenham Ave, Philadelphia, PA 19150 | 2014-02-04 |
| 1801219472 | Fatima Bangura | Registered Nurse | Excel Medical Center, LLC, 7515 Stenton Avenue, Philadelphia, PA 19150 | 2014-02-01 |
| 1386082089 | Enjalee Jennifer Thomas-finnagan | Behavioral Analyst | 8324 Temple Rd, Phila, PA 19150 | 2013-06-05 |
| 1235572538 | Blessy Mathew | Nurse Practitioner | 2385 Cheltenham Avenue, Philadelphia, PA 19150 | 2013-04-17 |
| Find all providers in zip 19150 | ||||
| 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 |
|---|---|---|---|---|
| 1952919177 | Lam Bui | Dentist | 201 N 8th St Unit 413, Philadelphia, PA 19106-1012 | 2020-07-14 |
| 1023665601 | Holly Gray | Dentist | 1812 Fitzwater St, Philadelphia, PA 19146-1852 | 2019-08-20 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1447743356 | Alexandra Greco | Dentist | 834 Chestnut St Ste M209, Philadelphia, PA 19107-5114 | 2018-06-14 |
| 1952852329 | Hyeran Helen Jeon | Dentist | 240 S. 40th Street, Dental @ Locust Walk, Philadelphia, PA 19104 | 2016-10-20 |
| 1801261524 | Harold Slutsky, D.m.d., P.C. | Dentist | 7100 Frankford Ave, Philadelphia, PA 19135-1009 | 2015-12-07 |
| 1225419658 | Sheila Othman | Dentist | 100 S Broad St Ste 1530, Philadelphia, PA 19110-1026 | 2015-06-11 |
| 1174926752 | Orozcodontics, PC | Dentist | 8705 Germantown Ave, Ste A, Philadelphia, PA 19118-2720 | 2014-09-26 |
| 1588076178 | Hanel Ariel Choi | Dentist | 100 S. Broad St. Suite 1530, Philadelphia, PA 19110 | 2014-05-29 |
| 1790127223 | Jerome H Sklaroff | Dentist | 1919 Chestnut St Apt 1005, Philadelphia, PA 19103-3414 | 2013-07-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19150 |
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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.