DR. JAMES PEYTON MOORE, JR (NPI# 1609910173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609910173 |
| Entity Type | Individual |
| Full Name | DR. JAMES PEYTON MOORE, JR |
| Credential | DDS |
| Practice Address |
101 Cleveland Ave E-5 Martinsville VA 24112-3700 |
| Practice Telephone | 2766323963 |
| Practice Fax Number | 2766383204 |
| Mailing Telephone | 2766323963 |
| Mailing Fax Number | 2766383204 |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401006886 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LICENSE # | 0401006886 | 01 |
| Street Address |
101 CLEVELAND AVE E-5 |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647832 | Susan Harwood Kissell | Nurse Practitioner | 101 Cleveland Ave, Suite A, Martinsville, VA 24112-3700 | 2005-05-28 |
| 1528567906 | Kristen Wilson | Occupational Therapist | 101 Cleveland Ave, Suite, Martinsville, VA 24112 | 2018-02-12 |
| 1871001198 | Randy Mc Collum | Physical Therapist | 101 Cleveland Ave, Martinsville, VA 24112-3700 | 2018-01-22 |
| 1437330586 | Cargill Urology Corporation | Urology | 101 Cleveland Ave, Suite C, Martinsville, VA 24112-3700 | 2007-11-16 |
| 1740461888 | Gehrken Urology Corporation | Urology | 101 Cleveland Ave, Suite C, Martinsville, VA 24112-3700 | 2007-11-16 |
| 1578753588 | Piedmont Urology Associates, Inc. | Urology | 101 Cleveland Ave, Suite C, Martinsville, VA 24112-3700 | 2007-07-26 |
| 1831243542 | George Samuel Hurt | Urology | 101 Cleveland Ave, Suite C, Martinsville, VA 24112-3700 | 2007-01-22 |
| 1003823121 | Deanna Jo Williamson | Clinic/Center | 101 Cleveland Ave, Suite D, Martinsville, VA 24112-3700 | 2006-08-02 |
| 1114958287 | Martinsville Neurological Assoc., Inc | Psychiatry & Neurology | 101 Cleveland Ave, Suite A, Martinsville, VA 24112-3700 | 2006-07-06 |
| 1396799318 | George Andrew Gehrken Jr. | Urology | 101 Cleveland Ave, Suite C, Martinsville, VA 24112-3700 | 2006-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| 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 |
|---|---|---|---|---|
| 1699318410 | Andrew Henritze Dds Pllc | Dentist | 1103 Brookdale St, Martinsville, VA 24112-4528 | 2019-10-24 |
| 1740767748 | Dylan James Krupp | Dentist | 25 Cleveland Ave Ste A, Martinsville, VA 24112-2935 | 2018-07-23 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1285828723 | Sapan Parikh | Dentist | 602 Emerald Trl, Martinsville, NJ 08836-2347 | 2007-08-28 |
| 1730386798 | Kirk Andrew Yegerlehner | Dentist | 9351 State Road 144, Martinsville, IN 46151-5848 | 2007-07-02 |
| 1659588994 | James A Jordan | Dentist | 1103 Brookdale St Ste E, Martinsville, VA 24112-4531 | 2007-05-17 |
| 1922133883 | George Albert Stermer Jr. | Dentist | 5 Dudley St, Martinsville, VA 24112-1905 | 2007-02-22 |
| 1609922913 | Mark A. Crabtree Dds, Ltd. | Dentist | 407 Starling Ave, Martinsville, VA 24112-3731 | 2007-01-27 |
| 1790833325 | James W Shearer | Dentist | 25 Cleveland Avenue, James W Shearer Dds Ltd, Martinsville, VA 24112 | 2007-01-08 |
| 1245398114 | Raymond Frank Mallinak | Dentist | 604 E Church St, Martinsville, VA 24112-3008 | 2006-12-04 |
| Find all providers in MARTINSVILLE | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
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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.