Timothy C. Moore, DDS, Msd, PC
Timothy C. Moore, DDS, Msd, PC is a healthcare organization registered as Prosthodontics in Grand Rapids, MI, holding Type 2 (organization) NPI 1578759437 since 2007. The authorized official on file is Timothy Moore, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1578759437 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Timothy C. Moore, DDS, Msd, PC |
| Practice address | 826 PARCHMENT DR SE, SUITE # 200, Grand Rapids, MI, 49546 |
| Phone | 6162859509 |
| Fax | 6162858856 |
| Enumeration date | 2007-09-24 |
| Last updated in NPPES | 2007-09-24 |
Authorized official
| Name | Timothy Moore |
|---|---|
| Title | President |
| Phone | 6162859509 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0700X | Prosthodontics | Primary | 2901010163 | MI |
Copy-ready billing details
Provider: Timothy C. Moore, DDS, Msd, PC NPI: 1578759437 Taxonomy: 1223P0700X (Prosthodontics) Address: 826 PARCHMENT DR SE, SUITE # 200, Grand Rapids, MI, 49546
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1679599930 | Timothy Moore | Individual | Prosthodontics | Grand Rapids, MI |
| 1801273503 | Emily Forzley | Individual | Registered Dietitian | Grand Rapids, MI |
| 1306390729 | Careatc - Grand Rapids | Organization | Primary Care Clinic/Center | Grand Rapids, MI |
| 1457902850 | Careatc | Organization | Primary Care Clinic/Center | Grand Rapids, MI |
| 1811599467 | Krogman Counseling | Organization | Mental Health Counselor | Grand Rapids, MI |
| 1679431563 | Tyler Kregel | Individual | Social Worker | Grand Rapids, MI |
Verify this record
Cross-check NPI 1578759437 against the authoritative CMS record: view Timothy C. Moore, DDS, Msd, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Timothy C. Moore, DDS, Msd, PC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-09-24.