John P. Moore Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

9967 Issued in AL

Practice address

1118 Ross Clark Cir
Ste 310
Dothan, AL 36301-3002

Phone

(334) 793-1534

Fax

(334) 793-6991

NPI assigned

Jun 17, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1720083561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR",
            "address_2": "STE 310",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013002",
            "telephone_number": "334-793-1534",
            "fax_number": "334-793-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR",
            "address_2": "STE 310",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013002",
            "telephone_number": "334-793-1534",
            "fax_number": "334-793-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOHN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "9967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000015068",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL BLUECROSS BLUESHIELD #",
            "identifier": "000015068",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moore Chiropractic Clinic P.C.
• Allison D Moore, CRNP
• Cameron Jordan Moore
• Carrie E. Moore, LICSW
• Donald F. Moore, D.C.
• Judson B. Moore, M.D.
• Morgan Ashley Moore, RDN
• Alishia Christine Moran, PHYSICIAN ASSISTANT
• Mary Katherine Moring, O.D.
• Amanda Morris

• Surgery Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.