Dean L Moore, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1700 Issued in TX

Practice address

16633 Dallas Pkwy
Suite 600
Addison, TX 75001-6816

Phone

(619) 633-8584

Fax

(760) 231-9135

NPI assigned

Feb 27, 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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Podiatry Consultants of Texas, Inc

  • Podiatrist
  • Katy, TX
  • NPI 1831147990
  NPD (past)
• Tavakoli Knapp Associates P.a.

  dba Foot and Ankle Center of Plano Frisco

  • Podiatrist
  • Frisco, TX
  • NPI 1639120421
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1790812816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 COSTA PACIFICA WAY",
            "address_2": "UNIT 2213",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542195",
            "telephone_number": "619-633-8584",
            "fax_number": "760-231-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 DALLAS PKWY",
            "address_2": "SUITE 600",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016816",
            "telephone_number": "619-633-8584",
            "fax_number": "760-231-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Carlos Molina, MD
• Monarch Diagnostics Inc.
• Cherishe Payne Mondics
• Marilyn J Monteiro, PH.D.
• Courtney Rose Moore
• Anisha Moorthy, PT, DPT
• Mpower Triple Aim TX
• Lauren Meredith Mull, M.S., CCC-SLP
• Erica L Muller, M.D.
• Clint Michael Mumpower, PHARMD

• Podiatrist in Addison, TX
• Providers in Addison, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.