Dontrell C Moore

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

8800 S 83Rd St
Lincoln, NE 68516-1991

Phone

(985) 438-0163

NPI assigned

Feb 10, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1861207789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 S 83RD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161991",
            "telephone_number": "985-438-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 S 83RD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161991",
            "telephone_number": "985-438-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DONTRELL",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Moore, PA-C
• Ayleanna Nevaeh Moore
• Brittany Moore
• Connie D Moore, LMHP
• Danielle Jaime Moore
• Emily Moore
• Emily Ann Moore
• Eric Moore
• Grace Moore, DDS
• Jaquanie Renee Moore

• Contractor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Contractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.