Organization Active NPI

Kyle R Moore DDS

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1376643635
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5286 Issued in OK
Legal business name
KYLE R MOORE DDS
Practice address
2751 NW Expressway
Suite 4
Oklahoma City, OK 73112
Phone
(405) 848-4447
Fax
(405) 848-4472
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kyle R Moore, DDS
Title
Owner
Phone
(405) 848-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5286 OK Primary

Addresses

Primary practice location

2751 NW Expressway
Suite 4
Oklahoma City, OK 73112

Mailing address

2751 NW Expressway
Suite 4
Oklahoma City, OK 73112
Phone (405) 848-4447

National Provider Directory

National Provider Directory

Locations

2751 NW Expressway
Ste 4
Oklahoma City, OK 73112
Phone (405) 848-4447

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376643635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 NW EXPRESSWAY",
            "address_2": "SUITE 4",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-848-4447",
            "fax_number": "405-848-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 NW EXPRESSWAY",
            "address_2": "SUITE 4",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-848-4447",
            "fax_number": "405-848-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE R MOORE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-848-4447",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.