Timothy James Moore, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8207 Issued in OR

Practice address

2603 Crosby Ave
Suite a
Klamath Falls, OR 97603-5776

Phone

(541) 273-6100

Fax

(541) 273-6107

NPI assigned

Jul 11, 2006

Last updated

Jul 8, 2007By 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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578598223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 CROSBY AVE",
            "address_2": "SUITE A",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976035776",
            "telephone_number": "541-273-6100",
            "fax_number": "541-273-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 CROSBY AVE",
            "address_2": "SUITE A",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976035776",
            "telephone_number": "541-273-6100",
            "fax_number": "541-273-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Robert Montgomery, RPH
• Holly Montjoy, M.D.
• Andrea R Moore, PA-C
• Laura L Moore, M.D.
• Loretta Gail Moore
• Ashley Mora
• Arturo Johnnyboy Morales, PWS/CRM
• Iliana Morales
• Natanhna L Morales
• Isaac Morelos

• General Practice Dentistry in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.