Joshua John Moore Jr.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5511 S Sunnylane Rd Apt 1
Oklahoma City, OK 73135-2460

Phone

(214) 236-6369

NPI assigned

Sep 27, 2022

Last updated

Sep 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1730803453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 S SUNNYLANE RD APT 1",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731352460",
            "telephone_number": "214-236-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 S SUNNYLANE RD APT 1",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731352460",
            "telephone_number": "214-236-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOSHUA",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "optional",
            "affiliation": "N",
            "endpointDescription": "optional",
            "address_1": "5511 S Sunnylane Rd Apt 1",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731352460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeanette L Moore, LCSW
• Jeffrey Moore, MD
• Jill Dimond Moore, MS, C.C.C.
• John E Moore II, M.ED.
• John Easter Moore Jr.
• Juan Carlos Moore
• Kathleen N Moore, MD
• Kevin Lee Moore, M.D.
• Kristan Rea'Sheal Moore
• L'Tisha Moore

• Case Manager/Care Coordinator in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.