RANDALL A. MOORE, DMD,PC (NPI# 1689972663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689972663 |
| Entity Type | Organization |
| Organization Name | RANDALL A. MOORE, DMD,PC |
| Practice Address |
351 Manville Rd Pleasantville NY 10570-2152 |
| Practice Telephone | 9147692626 |
| Mailing Telephone | 9147692626 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |
| Authorized Official Name | DR. RANDALL A. MOORE (OWNER) |
| Authorized Official Telephone | 9147692626 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144528134 | Randall A. Moore, Dmd,pc | Dentist | 141 Milbank Ave, Greenwich, CT 06830-6616 | 2011-03-01 |
| Street Address |
351 MANVILLE RD |
| City | PLEASANTVILLE |
| State | NY |
| Zip Code | 10570-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063598803 | Lara Fastman | Counselor | 351 Manville Rd, Suite 101, Pleasantville, NY 10570-2152 | 2006-10-27 |
| 1477078152 | Jared Reginald Mcshall | Psychologist | 351 Manville Rd, Pleasantville, NY 10570-2152 | 2017-08-03 |
| 1700310117 | Jill Green | Psychologist | 351 Manville Rd, Suite 101, Pleasantville, NY 10570-2152 | 2017-04-12 |
| 1184081085 | Rachel Lemonik | Psychologist | 351 Manville Rd, Suite 104, Pleasantville, NY 10570-2152 | 2016-01-22 |
| 1053777128 | Matthew Harris | Psychologist | 351 Manville Rd, Suite 101, Pleasantville, NY 10570-2152 | 2016-01-05 |
| 1659654341 | Donald E. Merriman Jr. | Psychologist | 351 Manville Rd, Suite 101, Pleasantville, NY 10570-2152 | 2011-09-20 |
| 1417172784 | Nina Capretta | Dentist | 351 Manville Rd, Pleasantville, NY 10570-2152 | 2007-04-13 |
| 1942354618 | Mary Vanderwart | Psychologist | 351 Manville Rd, Suite 101, Pleasantville, NY 10570-2152 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983597 | Lorraine Elizabeth Roes | Social Worker | Jcca Start Roes, 1075 Broadway, Pleasantville, NY 10570 | 2019-10-09 |
| 1700376720 | Pilar B. Wellansky | Psychologist | 400 Bedford Road, Room #207, Pleasantville, NY 10570 | 2018-05-15 |
| 1073021606 | Seokmin Han | Counselor | 411 Manville Rd, Pleasantville, NY 10570 | 2018-01-17 |
| 1891186771 | Daria Joan Zetlen | Social Worker | 51 Cedar Ave, Pleasantville, NY 10570 | 2015-02-12 |
| 1023437753 | Sheree L Loftus | Nurse Practitioner | 4 Stella Lane, Pleasantville, NY 10570 | 2014-04-09 |
| 1508123639 | Philip B. Blank Jr. D.o. P.C. | Dermatology | 325 Manville Rd., Pleasantville, NY 10570 | 2012-04-13 |
| 1760759476 | Elizabeth N. Sousa | Family Medicine | 130, Lake Shore Drive, Pleasantville, NY 10570 | 2011-11-23 |
| 1265714414 | Josephine B Reyes | Registered Nurse | 25 Booth Street, Pleasantville, Pleasantville, NY 10570 | 2011-09-14 |
| 1619121175 | Karen Ann Teters | Physical Therapist | 54 Washington Ave, Pleasantville, NY 10570 | 2008-11-11 |
| 1447411400 | Christina A. Repp | Social Worker | 351 Manville Rd., Suite 109, Pleasantville, NY 10570 | 2008-06-23 |
| Find all providers in zip 10570 | ||||
| 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 |
|---|---|---|---|---|
| 1295042836 | Lanier Dental LLC | Dentist | 110 Washington Ave, Pleasantville, NY 10570-2838 | 2010-09-02 |
| 1407992100 | David M. Gejer | Dentist | 50 W Black Horse Pike, Pleasantville, NJ 08232-2645 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1467069575 | Thomas P. Shannon, Dds, Professional Corporation | Dentist | 44 W 28th St Fl 14, New York, NY 10001-4212 | 2020-09-23 |
| 1508471665 | Daniella Davis | Dentist | 500 Portion Rd Ste 15, Lake Ronkonkoma, NY 11779-4587 | 2020-09-14 |
| 1144835927 | Nikhil Narkhede | Dentist | 401 Columbus Ave Ste 100, Valhalla, NY 10595-1349 | 2020-09-09 |
| 1619580040 | Amanda Beth Albin | Dentist | 62 Lake Ave S Ste A, Nesconset, NY 11767-1094 | 2020-08-25 |
| 1770109589 | Empire State Orthodontics, P.C. | Dentist | 2840 Military Rd, Niagara Falls, NY 14304-1566 | 2020-06-18 |
| 1457986044 | Todd Weinberger | Dentist | 1097 Old Country Rd Ste 203, Plainview, NY 11803-6505 | 2020-03-04 |
| 1851926513 | Miang Chneh C Teo | Dentist | 1100 Pelham Pkwy S, Bronx, NY 10461-1001 | 2020-03-03 |
| 1871127209 | Parisa Zare | Dentist | 40 Waterside Plz Apt 23e, New York, NY 10010-2633 | 2020-02-25 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTVILLE |
| Zip Code | 10570 |
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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.