Patrick Moore, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12471 Issued in TX

Practice address

21970 Bulverde Rd Ste 100
San Antonio, TX 78259-2179

Phone

(210) 496-7846

Fax

(210) 497-7407

NPI assigned

Dec 11, 2006

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

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1871653899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21970 BULVERDE RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592179",
            "telephone_number": "210-496-7846",
            "fax_number": "210-497-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21970 BULVERDE RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592179",
            "telephone_number": "210-496-7846",
            "fax_number": "210-497-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PATRICK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "12471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria L. Moore, COTA
• Mary A Moore, LCSW
• Mary S Moore, RN
• Milton Rahmon Moore, M.D.
• Patricia Ann Moore, PA-C
• Rebekah Moore, FNP-C
• Reginald Moore, M.D.
• Renaya Leigh Moore, RBT-22-229901
• Rudith Jade Moore, RBT
• Samantha J Moore, MD, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.