DR. EVAN S MOORE (NPI# 1548828916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548828916 |
| Entity Type | Individual |
| Full Name | DR. EVAN S MOORE |
| Credential | DDS |
| Practice Address |
201 N Dalton St Madison NC 27025-1903 |
| Mailing Address |
19810 W Catawba Ave Ste A1 Cornelius NC 28031-4056 |
| Practice Telephone | 3365489678 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11410 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757509 | Evan Moore | Counselor | 1490 N. Lafayette St, Suite 108, Denver, CO 80218-2391 | 2020-07-14 |
| 1548870934 | Evan C Moore | Nurse Practitioner | 924 N Country Club Dr, Mesa, AZ 85201-4108 | 2020-07-31 |
| 1366922858 | Evan K Moore | Physical Therapy Assistant | 5665 Creekside Forest Dr, Spring, TX 77389-4969 | 2018-08-15 |
| 1902240559 | Evan Michael Moore | Plastic Surgery | 1401 Harrodsburg Rd Ste B75, Lexington, KY 40504-1724 | 2013-04-25 |
| 1699982496 | Evan Robert Moore | Otolaryngology | 5020 E 68th St, Tulsa, OK 74136-3307 | 2007-05-17 |
| 1205053063 | Evan Corlee Moore | Emergency Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2007-04-20 |
| Street Address |
201 N DALTON ST |
| City | MADISON |
| State | NC |
| Zip Code | 27025-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942411749 | William Herbert Lewis Jr. | Dentist | 201 N Dalton St, Madison, NC 27025-1903 | 2007-05-24 |
| 1275199234 | Londry& Modlin V Dds Pllc | Dentist | 201 N Dalton St, Madison, NC 27025-1903 | 2019-05-15 |
| 1538331004 | William H. Lewis, Jr. Dds Pa | Clinic/Center | 201 N Dalton St, Madison, NC 27025-1903 | 2008-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013065168 | Tammy Brewer Eckard | Pharmacist | 401 W. Decatur St., Madison, NC 27025 | 2007-01-08 |
| 1972562635 | Total Renal Care of North Carolina LLC | Clinic/Center | 302 Highway St, Madison, NC 27025 | 2006-03-21 |
| 1760578207 | Philip Steven Neal | Dentist | 727 Ayersville Rd, Madison, NC 27025-1505 | 2006-10-04 |
| 1295780955 | Leonard Robert Nyland | Family Medicine | 723 Ayersville Rd, Madison, NC 27025-1505 | 2006-05-23 |
| 1669863940 | Novant Medical Group Inc | Family Medicine | 723 Ayersville Rd, Madison, NC 27025-1505 | 2015-02-09 |
| 1295001618 | Katherine Vaughan Hemberg | Nurse Practitioner | 723 Ayersville Rd, Madison, NC 27025-1505 | 2012-03-29 |
| 1568629954 | Leonard R Nyland, Md,pllc | Physician Assistant | 723 Ayersville Rd, Madison, NC 27025-1505 | 2008-05-22 |
| 1255434924 | North Carolina Cvs Pharmacy LLC | Pharmacy | 717 Highway St, Madison, NC 27025-1507 | 2006-09-07 |
| 1649810201 | Nicholas Tanner White | Pharmacist | 717 Highway St, Madison, NC 27025-1507 | 2020-01-12 |
| 1447715339 | Meritza Moorefield | Pharmacist | 717 Highway St, Madison, NC 27025-1507 | 2019-02-05 |
| Find all providers in zip 27025 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1841817657 | Kimberly Nicole Lee | Dentist | 105 Broadmoor Dr, Madison, MS 39110-6651 | 2020-06-26 |
| 1831713213 | Scarlett La'ree Johnson | Dentist | 155 Millhouse Dr, Madison, MS 39110-6964 | 2020-06-02 |
| 1447899653 | Say Ahh Family and Cosmetic Dentistry LLC | Dentist | 7559 Highway 72 W Ste 105a105b, Madison, AL 35758-8811 | 2020-01-06 |
| 1982245395 | Treehouse Children's Dentistry, LLC | Dentist | 7559 Highway 72 W Ste 108, Madison, AL 35758-8816 | 2019-10-07 |
| 1205480423 | Abtin Iranmanesh | Dentist | 7564 Highway 72 W Ste C, Madison, AL 35758-9437 | 2019-07-25 |
| 1396238226 | Nathalie M Gomez-leon | Dentist | 7278 Highway 72 W Ste A, Madison, AL 35758-9551 | 2018-06-14 |
| 1164915518 | Lauren Faustmann | Dentist | 20 Hughes Rd # 104, Madison, AL 35758-2237 | 2018-06-11 |
| 1669963518 | Fahad Al-fadhli | Dentist | 109 Sycamore Rdg, Madison, MS 39110-7333 | 2018-05-27 |
| 1346752441 | Pignataro Family Dentistry, PC | Dentist | 7950 Highway 72 W Ste F, Madison, AL 35758-6420 | 2017-10-30 |
| Find all providers in MADISON | ||||
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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.