Individual provider Active NPI

Robert Anthony Moore, MD

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1528119625
Registry record updated Feb 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E1070 Issued in TX
Practice address
3838 Oak Lawn Ave Ste 908
Dallas, TX 75219-4510
Phone
(214) 522-1960
NPI assigned
Jan 15, 2007
Last updated
Feb 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E1070 TX Primary

Addresses

Primary practice location

3838 Oak Lawn Ave Ste 908
Dallas, TX 75219-4510

Mailing address

388 Oak Lawn Ave
# 908
Dallas, TX 75219-4460
Phone (214) 522-1960

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031226000203 TX Practitioner - Psychiatry 4587562715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at San Antonio, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3838 Oak Lawn
Suite 908
Dallas, TX 75219-4510
Phone (214) 522-1960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
R Anthony Moore MD PA CurrentSince Feb 18, 2011 Accepting new patients

Locations

3838 Oak Lawn Ave
Ste 908
Dallas, TX 75219
Phone (214) 522-1960

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1528119625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 OAK LAWN AVE",
            "address_2": "# 908",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194460",
            "telephone_number": "214-522-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 OAK LAWN AVE STE 908",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194510",
            "telephone_number": "214-522-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E1070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.