M Kent Moore, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

8097 Issued in AZ

Practice address

564 W 9TH PL
Ste 3
Mesa, AZ 85201-4069

Phone

(480) 834-3868

Fax

(480) 833-0763

NPI assigned

Jul 14, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801894662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 W 9TH PL",
            "address_2": "STE 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014069",
            "telephone_number": "480-834-3868",
            "fax_number": "480-833-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 W 9TH PL",
            "address_2": "STE 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014069",
            "telephone_number": "480-834-3868",
            "fax_number": "480-833-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "M",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "8097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4654696",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0377870",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "120367",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Leon Moore, CCP
• Hannah Moore
• Haylee Moore, RN
• Jason Moore, PT, DPT
• Kevin Deandre Moore
• Marc Wayne Moore, M.P.T.
• Melanie L Moore, AU.D.
• Michelle Marie Moore
• Nicole Marie Moore
• Seger Moore

• Ophthalmology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.