Active NPI
David P. Moore, M.D., PLLC
- Behavioral Neurology & Neuropsychiatry Physician
- Louisville, KY
National Provider Identifier
1770772980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- License
- 19307
- Legal business name
- DAVID P. MOORE, M.D., PLLC
- Practice address
- 402 Browns LN
Louisville, KY 40207-4040 - Phone
- (502) 552-4633
- Fax
- (502) 895-7997
- NPI assigned
- Oct 24, 2007
- 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. David Pringle Moore, M.D.
- Title
- Owner/Physician
- Phone
- (502) 552-4633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | 19307 | KY | Primary |
Addresses
Primary practice location
402 Browns LN
Louisville, KY 40207-4040
Mailing address
402 Browns LN
Louisville, KY 40207-4040
Phone (502) 552-4633
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461456000000",
"number": "1770772980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 BROWNS LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074040",
"telephone_number": "502-552-4633",
"fax_number": "502-895-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 BROWNS LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074040",
"telephone_number": "502-552-4633",
"fax_number": "502-895-7997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID P. MOORE, M.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2016-04-24",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "PRINGLE",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "502-552-4633",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "KY",
"license": "19307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.