Timothy Moore

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

TIMOTHY MOORE

Practice address

384 SW Upper Terrace Dr Ste 212
Bend, OR 97702-3514

Phone

(541) 306-0474

NPI assigned

Jun 21, 2021

Organization subpart

No

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

Authorized official

Name

Timothy Moore

Title

Owner

Phone

(541) 306-0474

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1821667304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NW ST HELENS PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 SW UPPER TERRACE DR STE 212",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023514",
            "telephone_number": "541-306-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-306-0474"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan B Timm, DMD
• Steven Timm, D.M.D
• Kristina Timmons, FNP-C
• Rebecca A Timms, LCSW
• Shelby Timms, BA, LMT
• Timothy S Hofeldt MD PC
• Kelli Rhianne Timson, LMT
• Gerold James Tinsley
• Angeleia E Tipton, DTCM
• Dakota J. Tittle, CRM

• Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.