Active NPI
Alan a Moore, DDS, Inc
- General Practice Dentistry
- Conroe, TX
National Provider Identifier
1679834519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11666
- Legal business name
- ALAN A MOORE, DDS, INC
- Practice address
- 701 Everett St
Conroe, TX 77301-1830 - Phone
- (936) 756-1616
- NPI assigned
- Jun 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan A Mooe, DDS
- Title
- President
- Phone
- (936) 756-1616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11666 | TX | Primary |
Addresses
Primary practice location
701 Everett St
Conroe, TX 77301-1830
Mailing address
701 Everett St
Conroe, TX 77301-1830
National Provider Directory
National Provider DirectoryLocations
701 Everett St
Conroe, TX 77301
Phone (936) 756-1616
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Conroe, TX
- NPI 1275540080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339027200000",
"number": "1679834519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 EVERETT ST",
"city": "CONROE",
"state": "TX",
"postal_code": "773011830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 EVERETT ST",
"city": "CONROE",
"state": "TX",
"postal_code": "773011830",
"telephone_number": "936-756-1616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAN A MOORE, DDS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-07",
"last_updated": "2012-06-07",
"status": "A",
"authorized_official_last_name": "MOOE",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "936-756-1616",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "11666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.