Alan Arthur Moore, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

11666 Issued in TX

Practice address

701 Everett St
Conroe, TX 77301-1830

Phone

(936) 756-1616

Fax

(936) 756-5124

NPI assigned

Aug 2, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Alan a Moore, DDS, Inc

  • General Practice Dentistry
  • Conroe, TX
  • NPI 1679834519
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275540080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 EVERETT ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011830",
            "telephone_number": "936-756-1616",
            "fax_number": "936-756-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EVERETT ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011830",
            "telephone_number": "936-756-1616",
            "fax_number": "936-756-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALAN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "11666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Carey Montgomery, LPC
• Laura Kemp Montgomery
• Whitney Lane Montgomery, PA-C
• Ella Moody
• Lynn Abadesco Moody, RN
• Amy Nicole Moore, WHNP
• Jennifer Renee Doskocil Moore, FNP
• Joanna Terrelle Moore, MD
• Leslie Moore, RN
• Lora Alexandra Moore, DDS

• Dentist in Conroe, TX
• Providers in Conroe, TX by specialty
• Dentist in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.