Active NPI
Charles H Moore, MD
- Cardiovascular Disease Physician
- Kingwood, TX
National Provider Identifier
1275533044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- F8954
- Practice address
- 2627 Chestnut Ridge Dr
Suite 100
Kingwood, TX 77339-2023 - Phone
- (281) 358-1950
- Fax
- (281) 358-1923
- NPI assigned
- Jul 22, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | F8954 | TX | Primary |
Addresses
Primary practice location
2627 Chestnut Ridge Dr
Suite 100
Kingwood, TX 77339-2023
Mailing address
2627 Chestnut Ridge Dr
Suite 100
Kingwood, TX 77339-2023
Phone (281) 358-1950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP0094 | Other | TX | MEDICARE RR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F8954 | TX | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391385600000",
"number": "1275533044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2627 CHESTNUT RIDGE DR",
"address_2": "SUITE 100",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773392023",
"telephone_number": "281-358-1950",
"fax_number": "281-358-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2627 CHESTNUT RIDGE DR",
"address_2": "SUITE 100",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773392023",
"telephone_number": "281-358-1950",
"fax_number": "281-358-1923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CHARLES",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2014-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "F8954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "CP0094",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.