NPIMap

Organization Active NPI

Moore Care LLC

Doing business as Greystone Medical

  • Primary Care Clinic/Center
  • Moore, OK
National Provider Identifier
1104379148
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MOORE CARE LLC
Doing business as
Greystone Medical
Practice address
507 NE 12TH St
Moore, OK 73160-5807
Phone
(405) 237-9955
NPI assigned
Jul 26, 2016
Last updated
Jul 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Corey Finch, MDNPI 1407903644
Title
Owner
Phone
(405) 237-9955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

507 NE 12TH St
Moore, OK 73160-5807

Mailing address

400 N Eastern Ave
Suite B
Moore, OK 73160-5833
Phone (405) 928-2727

Other names 1

  • GREYSTONE MEDICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170428000648 OK Part B Supplier - Clinic/Group Practice 3870870843 Receives reassigned benefits from 10 practitioners
Practice locations: Moore, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2120375Moore Care LLC507 NE 12TH, Moore, OK 73160Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory

Locations

400 N Eastern Ave
Ste B
Moore, OK 73160
Phone (405) 237-9955

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1104379148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N EASTERN AVE",
            "address_2": "SUITE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605833",
            "telephone_number": "405-928-2727",
            "fax_number": "405-928-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 NE 12TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605807",
            "telephone_number": "405-237-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-237-9955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREYSTONE MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.