Active NPI
Thomas M Demoor, M.D.
- Child & Adolescent Psychiatry Physician
- San Antonio, TX
National Provider Identifier
1447225982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- H2333
- Practice address
- 9150 Huebner Rd
205
San Antonio, TX 78240-1558 - Phone
- (210) 877-9046
- Fax
- (210) 877-9052
- NPI assigned
- Feb 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | H2333 | TX | Primary |
Addresses
Primary practice location
9150 Huebner Rd
205
San Antonio, TX 78240-1558
Mailing address
9150 Huebner Rd
Suite 205
San Antonio, TX 78240-1558
Phone (210) 877-9046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139955223 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2013 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H2333 | TX | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1447225982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 HUEBNER RD",
"address_2": "SUITE 205",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401558",
"telephone_number": "210-877-9046",
"fax_number": "210-877-9052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 HUEBNER RD",
"address_2": "205",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401558",
"telephone_number": "210-877-9046",
"fax_number": "210-877-9052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMOOR",
"first_name": "THOMAS",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "H2333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139955223",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.