Cody Wayne Moore, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

S5020 Issued in TX

Practice address

6301 Almeda Rd Apt 311
Houston, TX 77021-1059

Phone

(979) 229-4648

NPI assigned

May 29, 2017

Last updated

May 11, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1396273827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 ALMEDA RD APT 311",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 ALMEDA RD APT 311",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211059",
            "telephone_number": "979-229-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CODY",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-29",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S5020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byron Haynes Moore, M.D.
• Cameron Moore, FNP
• Carrie Leigh Moore, PT
• Chanel Yvonne Moore
• Charles Robert Moore, M.D.
• Constance Ann Moore
• Cynthia Diana Moore, M.S., LPC
• Darayon Alexis Moore, MD
• David Marshall Moore, LCSW
• Dean Moore II, M.D.

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.