Walter Parker Moore III, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

H6450 Issued in TX

Practice address

401 N 9TH St
Bismarck, ND 58501-4530

Phone

(701) 712-4500

NPI assigned

Nov 29, 2005

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Houston Ear Nose & Throat Clinic LLP

  • Otolaryngology Physician
  • Sugar Land, TX
  • NPI 1477515617
  NPD
• ENT and Allergy Associates of Texas PLLC

  • Otolaryngology Physician
  • Sugar Land, TX
  • NPI 1518844554
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1326021841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N 9TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014530",
            "telephone_number": "701-712-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N 9TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014530",
            "telephone_number": "701-712-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WALTER",
        "middle_name": "PARKER",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "H6450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139546901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montana-Dakota Utilities Co., a Division of Mdu Resources Group Inc. (Montana-Dakota Utilities Co.)
• Kristina Dachelle Moody
• Randall Moody
• Marlana Moore
• Michael R Moore, MD
• Moos Family Chiropractic LLC (Moos Family Chiropractic)
• Andrea Morales
• Jenna Marie Morales, LPN
• Stephanie Morales
• Susan Julia Moreno, PTA

• Otolaryngology Physician in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Otolaryngology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.