Individual provider Active NPI

Paul Terrence Moore, MD

  • Specialist
  • Dallas, TX
National Provider Identifier
1912092156
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K 0137 Issued in TX
Practice address
8722 Greenville Ave
BLDG. E Suite 102
Dallas, TX 75243-7167
Phone
(972) 272-6558
Fax
(972) 200-5111
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K 0137 TX Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X K0137 TX

Addresses

Primary practice location

8722 Greenville Ave
BLDG. E Suite 102
Dallas, TX 75243-7167

Mailing address

8722 Greenville Ave
BLDG. E Suite 102
Dallas, TX 75243-7167
Phone (972) 272-6558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070731000706 TX Practitioner - NeurologyPractitioner - Sleep Medicine 6204927502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Tulane University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
P Terrence Moore MD PAGroup PAC ID 1951602135, 2 clinicians

Practice addresses (Care Compare)

8722 Greenville Ave
Suite 102
Dallas, TX 75243-7165
Phone (972) 272-6558

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K 0137TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
P Terrence Moore MD PA Sleep Medicine CurrentSince Aug 15, 2015 Accepting new patients
Healthtexas Provider Network Past Accepting new patients
Inspire Health PLLC Past Accepting new patients
Texas Lung Center, P.a. Past Accepting new patients

Locations

8722 Greenville Ave
Ste 102
Dallas, TX 75243
Phone (214) 466-7222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCFHBA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1912092156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8722 GREENVILLE AVE",
            "address_2": "BLDG. E SUITE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437167",
            "telephone_number": "972-272-6558",
            "fax_number": "972-200-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8722 GREENVILLE AVE",
            "address_2": "BLDG. E SUITE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437167",
            "telephone_number": "972-272-6558",
            "fax_number": "972-200-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PAUL",
        "middle_name": "TERRENCE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K 0137",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TX",
            "license": "K0137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.