Active NPI
Christopher Patrick Moore, NP-C
- Nurse Practitioner
- Dallas, TX
National Provider Identifier
1619238995
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Sep 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 667561
- Practice address
- 9301 N Central Expy
Suite 400
Dallas, TX 75231-0806 - Phone
- (214) 220-2468
- Fax
- (214) 397-1551
- NPI assigned
- Jun 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN667561 | TX | |
| Nurse Practitioner | 363L00000X | 667561 | TX | Primary |
Addresses
Primary practice location
9301 N Central Expy
Suite 400
Dallas, TX 75231-0806
Mailing address
9301 N Central Expy
Suite 400
Dallas, TX 75231-0806
Phone (214) 220-2468
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN667561 | TX | MD | Registered Nurse First Assistant |
| 667561 | TX | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1619238995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 N CENTRAL EXPY",
"address_2": "SUITE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752310806",
"telephone_number": "214-220-2468",
"fax_number": "214-397-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 N CENTRAL EXPY",
"address_2": "SUITE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752310806",
"telephone_number": "214-220-2468",
"fax_number": "214-397-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CHRISTOPHER",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-04",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "TX",
"license": "RN667561",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "667561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.