Individual provider Active NPI

Christopher Stephen Moore, D.D.S.

  • Dentist
  • New Braunfels, TX
National Provider Identifier
1568402170
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16927 Issued in TX
Practice address
831 Landa St Ste D
New Braunfels, TX 78130-6116
Phone
(830) 625-7757
NPI assigned
Jun 8, 2006
Last updated
May 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16927 TX Primary

Addresses

Primary practice location

831 Landa St Ste D
New Braunfels, TX 78130-6116

Mailing address

4904 Holden Cir
College Station, TX 77845-7422
Phone (281) 850-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16927TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bedford Family Dentistry, P.a. General Practice CurrentSince May 12, 2024 Accepting new patients
College Station Dentistry and Orthodontics PLLC General Practice PastSince Apr 9, 2024 Accepting new patients
Bedford Family Dentistry PA Dentist PastSince May 12, 2024 Accepting new patients

Locations

831 Landa St
Ste D
New Braunfels, TX 78130
Phone (830) 625-7757

Organizations & group practices 3

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1568402170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 HOLDEN CIR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457422",
            "telephone_number": "281-850-2828",
            "fax_number": "979-393-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 LANDA ST STE D",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306116",
            "telephone_number": "830-625-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHRISTOPHER",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.