John Reagan Moore, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD0000019800 Issued in TN

Practice address

1909 Mallory LN
Ste 104
Franklin, TN 37067-2830

Phone

(615) 771-7718

Fax

(615) 771-6889

NPI assigned

Sep 22, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190419200000",
    "number": "1750577896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 MALLORY LN",
            "address_2": "STE 104",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672830",
            "telephone_number": "615-771-7718",
            "fax_number": "615-771-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MALLORY LN",
            "address_2": "STE 104",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672830",
            "telephone_number": "615-771-7718",
            "fax_number": "615-771-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOHN",
        "middle_name": "REAGAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-22",
        "last_updated": "2007-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000019800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Kathleen Moore
• Chance Alexander Moore, DC
• Courtney Moore
• Daniel Moore, LPC-MHSP
• Griffin Alexander Moore, DPT
• Melodie Elisabeth Moore
• Morgan Moore
• Rachel Leigh Moore, P.T.
• Timothy James Moore, OTR/L
• Fran Mora, LCSW

• Specialist in Franklin, TN
• Providers in Franklin, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2007; 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.