DR. JARED MOFFETT (NPI# 1609351832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609351832 |
| Entity Type | Individual |
| Full Name | DR. JARED MOFFETT |
| Credential | DMD |
| Practice Address |
875 Union Ave Memphis TN 38103-3513 |
| Mailing Address |
389 Meadowcrest Cir Memphis TN 38117-4333 |
| Practice Telephone | 9014486213 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3853-16 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841755899 | Jared Moffett | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-04 |
| Street Address |
875 UNION AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366430647 | Lawrence W Weeda Jr. | Dentist | 875 Union Ave, Room N-328, Memphis, TN 38163-0001 | 2005-10-11 |
| 1750907200 | Meghan Gahm | Student in an Organized Health Care Education/Training Program | 875 Union Ave, Memphis, TN 38103-3513 | 2020-06-21 |
| 1134768617 | Deborah Kay Rose | Dental Hygienist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-12-31 |
| 1982249769 | Leila Marie Sears | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-11-15 |
| 1124680632 | Anna Claire Eaton | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-07-03 |
| 1164080867 | Bryce James Lamer | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-05-29 |
| 1699240879 | Brian Ashford Brodine | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2018-10-03 |
| 1437648045 | Jill Emily Gibson | Student in an Organized Health Care Education/Training Program | 875 Union Ave, Memphis, TN 38103-3513 | 2018-05-09 |
| 1093244972 | David Rua Perez | Student in an Organized Health Care Education/Training Program | 875 Union Ave, Memphis, TN 38103-3513 | 2017-06-05 |
| 1396299830 | Angela Gullard | Dentist | 875 Union Ave, Advanced Prosthodontics Program, Memphis, TN 38103-3513 | 2016-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| 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 |
|---|---|---|---|---|
| 1770963746 | Ayman Al Dayeh | Dentist | 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 | 2015-06-04 |
| 1184869638 | Stanley Patrick Werner | Dentist | 6425 Quail Hollow Rd, Suite 201, Memphis, TN 38120 | 2008-12-12 |
| 1780722959 | Walter Cooper Sandusky IIi | Dentist | 6262 Poplar Ave, Memphis, TN 38119-4728 | 2007-02-01 |
| 1861557555 | Werner Orthodontics PC | Dentist | 6425 N Quail Hollow Rd, Suite 201, Memphis, TN 38120-1437 | 2006-12-25 |
| 1881777126 | Danny Weiss | Dentist | 5885 Ridgeway Center Pkwy, Suite 200, Memphis, TN 38120-4055 | 2006-10-23 |
| 1134214828 | Joe Lawrence Wasson | Dentist | 5575 Poplar Ave Ste 218, Memphis, TN 38119-3851 | 2006-10-04 |
| 1942224233 | James P Wiygul | Dentist | 5340 Poplar Ave, Suite #1, Memphis, TN 38119-3516 | 2006-07-27 |
| 1518956945 | Samuel L Watts | Dentist | 5101 Sanderlin Ave, Suite 108, Memphis, TN 38117-4362 | 2005-10-18 |
| 1427420561 | University of Tennessee | Dentist | 875 Union Ave., Suite C303, Memphis, TN 38103-3513 | 2015-10-28 |
| 1730476268 | Quinton C. Robinson IIi, D.d.s., M.s., Pllc | Dentist | 5180 Park Ave, Suite 260, Memphis, TN 38119-3521 | 2011-07-05 |
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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.