Individual provider Active NPI

Lora Alexandra Moore, DDS

  • Dentist
  • Conroe, TX
National Provider Identifier
1023680659
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37515 Issued in TX
Practice address
2400 FM Rd 1488
#200
Conroe, TX 77384
Phone
(936) 224-7007
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37515 TX Primary

Addresses

Primary practice location

2400 FM Rd 1488
#200
Conroe, TX 77384

Mailing address

4519 Nett St
Houston, TX 77007-5413
Phone (214) 208-0759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37515TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Smiles Woodlands, PLLC Dentist CurrentSince Jul 25, 2021 Accepting new patients

Locations

2400 FM 1488 Rd
Ste 200
Conroe, TX 77384
Phone (713) 701-9845

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1023680659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 NETT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075413",
            "telephone_number": "214-208-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FM RD 1488",
            "address_2": "#200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77384",
            "telephone_number": "936-224-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LORA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.