Individual provider Active NPI

Timothy O'Neal Moore

  • Driver
  • Pearland, TX
National Provider Identifier
1629393251
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
08801174 Issued in TX
Practice address
2850 Oak Rd
Pearland, TX 77584-8853
Phone
(832) 618-3712
Fax
(281) 741-7158
NPI assigned
Apr 7, 2010
Last updated
Apr 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 08801174 TX Primary

Addresses

Primary practice location

2850 Oak Rd
Pearland, TX 77584-8853

Mailing address

PO Box 300232
Houston, TX 77230-0232
Phone (832) 618-3712

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
08801174TXMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1629393251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300232",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772300232",
            "telephone_number": "832-618-3712",
            "fax_number": "281-741-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 OAK RD",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848853",
            "telephone_number": "832-618-3712",
            "fax_number": "281-741-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TIMOTHY",
        "middle_name": "O'NEAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "08801174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.