Organization Active NPI

David P. Moore, M.D., PLLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Louisville, KY
National Provider Identifier
1770772980
Registry record updated Apr 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
19307 Issued in KY
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

Updated by the provider on Apr 24, 2016

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)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.