Active NPI
William S Moore, DDS MS
- Dentist
- San Antonio, TX
National Provider Identifier
1104916980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18859
- Practice address
- 7703 Floyd Curl Dr
San Antonio, TX 78229 - Phone
- (210) 567-6405
- Fax
- (210) 567-2844
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18859 | TX | Primary |
Addresses
Primary practice location
7703 Floyd Curl Dr
San Antonio, TX 78229
Mailing address
PO Box 40397
San Antonio, TX 78229-3900
Phone (210) 567-6405
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87D708 | Other | BCBS | |
| 1446438 | Other | UNITED CONCORDIA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18859 | TX | MD | Professional Counselor |
| 18559 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104916980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40397",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293900",
"telephone_number": "210-567-6405",
"fax_number": "210-567-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-567-6405",
"fax_number": "210-567-2844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "WILLIAM",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "18859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "87D708",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1446438",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.